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1619484904 NPI number — VIRTUOUS WOMEN OF WEST ALABAMA

NPI Number: 1619484904
Health Care Provider/Practitioner: VIRTUOUS WOMEN OF WEST ALABAMA

Information about “1619484904” NPI (VIRTUOUS WOMEN OF WEST ALABAMA) exists in 1619484904 in HTML format HTML  |  1619484904 in plain Text format TXT  |  1619484904 in PDF (Portable Document Format) PDF  |  1619484904 in an XML format XML  formats.

NPI Number : 1619484904 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619484904",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VIRTUOUS WOMEN OF WEST ALABAMA",
    "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": "5001 CYPRESS CREEK AVE E APT 402",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUSCALOOSA",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35405-6028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-657-3114",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3914 WATERMELON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTHPORT",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35473-5184",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-657-3114",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/08/2018",
    "LastUpdateDate": "01/08/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCKINSTRY",
    "AuthorizedOfficialFirstName": "LATOYA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "205-657-3114",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "320900000X",
        "TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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