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1639745474 NPI number — CIRCLE OF FRIENDS, LLC

NPI Number: 1639745474
Health Care Provider/Practitioner: CIRCLE OF FRIENDS, LLC

Information about “1639745474” NPI (CIRCLE OF FRIENDS, LLC) exists in 1639745474 in HTML format HTML  |  1639745474 in plain Text format TXT  |  1639745474 in PDF (Portable Document Format) PDF  |  1639745474 in an XML format XML  formats.

NPI Number : 1639745474 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639745474",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CIRCLE OF FRIENDS, 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": "PO BOX 44",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BARBOURSVILLE",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25504-0044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-948-6903",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2 PLATINUM DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BARBOURSVILLE",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25504-9760",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-948-6903",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/02/2021",
    "LastUpdateDate": "08/12/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SMITH",
    "AuthorizedOfficialFirstName": "TEDDI",
    "AuthorizedOfficialMiddleName": "LEIGH",
    "AuthorizedOfficialTitle": "OWNER - CASE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "304-948-6903",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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