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1629361019 NPI number — CHEVY CHASE STAFFING AGENCY LLC

NPI Number: 1629361019
Health Care Provider/Practitioner: CHEVY CHASE STAFFING AGENCY LLC

Information about “1629361019” NPI (CHEVY CHASE STAFFING AGENCY LLC) exists in 1629361019 in HTML format HTML  |  1629361019 in plain Text format TXT  |  1629361019 in PDF (Portable Document Format) PDF  |  1629361019 in an XML format XML  formats.

NPI Number : 1629361019 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629361019",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CHEVY CHASE STAFFING AGENCY LLC",
    "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": "20306 THUNDERHEAD WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GERMANTOWN",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20874-3806",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-944-2096",
    "MailingAddressFaxNumber": "240-489-7883",
    "FirstLinePracticeLocationAddress": "20306 THUNDERHEAD WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GERMANTOWN",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20874-3806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-944-2096",
    "PracticeLocationAddressFaxNumber": "240-489-7883",
    "EnumerationDate": "05/18/2011",
    "LastUpdateDate": "05/18/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KIMBIS",
    "AuthorizedOfficialFirstName": "PETER",
    "AuthorizedOfficialMiddleName": "JAMES",
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "301-944-2096",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": "110101",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": "101102",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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