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1639225261 NPI number — PROGRESSIVE MEDICAL

NPI Number: 1639225261
Health Care Provider/Practitioner: PROGRESSIVE MEDICAL

Information about “1639225261” NPI (PROGRESSIVE MEDICAL) exists in 1639225261 in HTML format HTML  |  1639225261 in plain Text format TXT  |  1639225261 in PDF (Portable Document Format) PDF  |  1639225261 in an XML format XML  formats.

NPI Number : 1639225261 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639225261",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PROGRESSIVE MEDICAL",
    "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": "2720 LOKER AVE W",
    "SecondLineMailingAddress": "SUITE P",
    "MailingAddressCityName": "CARLSBAD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92010-6604",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-448-4448",
    "MailingAddressFaxNumber": "760-448-4449",
    "FirstLinePracticeLocationAddress": "2720 LOKER AVE W",
    "SecondLinePracticeLocationAddress": "SUITE P",
    "PracticeLocationAddressCityName": "CARLSBAD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92010-6604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-448-4448",
    "PracticeLocationAddressFaxNumber": "760-448-4449",
    "EnumerationDate": "01/26/2007",
    "LastUpdateDate": "07/20/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KENT",
    "AuthorizedOfficialFirstName": "HELEN",
    "AuthorizedOfficialMiddleName": "A.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RRT",
    "AuthorizedOfficialTelephoneNumber": "760-448-4448",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": "43639",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": "43639",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": "43639",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "43639",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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