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1609122753 NPI number — ALEJANDRO SUBSTANCE ABUSE, LLC

NPI Number: 1609122753
Health Care Provider/Practitioner: ALEJANDRO SUBSTANCE ABUSE, LLC

Information about “1609122753” NPI (ALEJANDRO SUBSTANCE ABUSE, LLC) exists in 1609122753 in HTML format HTML  |  1609122753 in plain Text format TXT  |  1609122753 in PDF (Portable Document Format) PDF  |  1609122753 in an XML format XML  formats.

NPI Number : 1609122753 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609122753",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALEJANDRO SUBSTANCE ABUSE, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "713 RAILROAD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87701-4532",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-425-2687",
    "MailingAddressFaxNumber": "505-454-7198",
    "FirstLinePracticeLocationAddress": "713 RAILROAD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87701-4532",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-425-2687",
    "PracticeLocationAddressFaxNumber": "505-454-7198",
    "EnumerationDate": "07/26/2012",
    "LastUpdateDate": "07/26/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RIVERA",
    "AuthorizedOfficialFirstName": "ALEJANDRO",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LADAC",
    "AuthorizedOfficialTelephoneNumber": "505-617-5846",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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