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1598442998 NPI number — MEM SCEPTER HOME & BEHAVIORAL

NPI Number: 1598442998
Health Care Provider/Practitioner: MEM SCEPTER HOME & BEHAVIORAL

Information about “1598442998” NPI (MEM SCEPTER HOME & BEHAVIORAL) exists in 1598442998 in HTML format HTML  |  1598442998 in plain Text format TXT  |  1598442998 in PDF (Portable Document Format) PDF  |  1598442998 in an XML format XML  formats.

NPI Number : 1598442998 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598442998",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MEM SCEPTER HOME & BEHAVIORAL",
    "ParentOrgTIN": null,
    "OrgName": "MEM SCEPTER HOME & BEHAVIORAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1116",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEONARDTOWN",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20650-1116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-309-4111",
    "MailingAddressFaxNumber": "240-309-4095",
    "FirstLinePracticeLocationAddress": "25484 POINT LOOKOUT RD STE 301A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEONARDTOWN",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20650-3842",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-309-4111",
    "PracticeLocationAddressFaxNumber": "240-309-4095",
    "EnumerationDate": "06/28/2023",
    "LastUpdateDate": "06/28/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADENEKAN",
    "AuthorizedOfficialFirstName": "MODUPE",
    "AuthorizedOfficialMiddleName": "OLUFUNKE",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CRNP-PMHNP-BC",
    "AuthorizedOfficialTelephoneNumber": "403-094-0952",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0400X",
        "TaxonomyName": "Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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