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1649501081 NPI number — PATHWAY TO A LASTING RECOVERY

NPI Number: 1649501081
Health Care Provider/Practitioner: PATHWAY TO A LASTING RECOVERY

Information about “1649501081” NPI (PATHWAY TO A LASTING RECOVERY) exists in 1649501081 in HTML format HTML  |  1649501081 in plain Text format TXT  |  1649501081 in PDF (Portable Document Format) PDF  |  1649501081 in an XML format XML  formats.

NPI Number : 1649501081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649501081",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PATHWAY TO A LASTING RECOVERY",
    "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": "1701 S 1ST AVE",
    "SecondLineMailingAddress": "SUITE# 310",
    "MailingAddressCityName": "MAYWOOD",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60153-2442",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-344-0884",
    "MailingAddressFaxNumber": "708-343-5629",
    "FirstLinePracticeLocationAddress": "1701 S 1ST AVE",
    "SecondLinePracticeLocationAddress": "SUITE# 310",
    "PracticeLocationAddressCityName": "MAYWOOD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60153-2442",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-344-0884",
    "PracticeLocationAddressFaxNumber": "708-343-5629",
    "EnumerationDate": "01/25/2010",
    "LastUpdateDate": "01/25/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JORDAN",
    "AuthorizedOfficialFirstName": "FRANK",
    "AuthorizedOfficialMiddleName": "MICHAEL",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA CADC",
    "AuthorizedOfficialTelephoneNumber": "708-344-0884",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "343900000X",
        "TaxonomyName": "Non-emergency Medical Transport (VAN)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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