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1649586488 NPI number — HENRY ALLEN LLC

NPI Number: 1649586488
Health Care Provider/Practitioner: HENRY ALLEN LLC

Information about “1649586488” NPI (HENRY ALLEN LLC) exists in 1649586488 in HTML format HTML  |  1649586488 in plain Text format TXT  |  1649586488 in PDF (Portable Document Format) PDF  |  1649586488 in an XML format XML  formats.

NPI Number : 1649586488 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649586488",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HENRY ALLEN 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 2797",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WALTON BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32549-2797",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-269-2186",
    "MailingAddressFaxNumber": "850-269-2341",
    "FirstLinePracticeLocationAddress": "348 MIRACLE STRIP PKWY SW",
    "SecondLinePracticeLocationAddress": "SUITE 23",
    "PracticeLocationAddressCityName": "FORT WALTON BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32548-5200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-269-2186",
    "PracticeLocationAddressFaxNumber": "850-269-2341",
    "EnumerationDate": "08/30/2010",
    "LastUpdateDate": "08/31/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "POST",
    "AuthorizedOfficialFirstName": "DEAN",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "OWNER/PHYSICIAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "850-269-2186",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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