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1659247070 NPI number — COMPLETE RELIEF LICE TREATMENTS LLC DBA COMPLETE RELIEF LICE CARE

NPI Number: 1659247070
Health Care Provider/Practitioner: COMPLETE RELIEF LICE TREATMENTS LLC DBA COMPLETE RELIEF LICE CARE

Information about “1659247070” NPI (COMPLETE RELIEF LICE TREATMENTS LLC DBA COMPLETE RELIEF LICE CARE) exists in 1659247070 in HTML format HTML  |  1659247070 in plain Text format TXT  |  1659247070 in PDF (Portable Document Format) PDF  |  1659247070 in an XML format XML  formats.

NPI Number : 1659247070 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659247070",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMPLETE RELIEF LICE TREATMENTS LLC DBA COMPLETE RELIEF LICE CARE",
    "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": "309 CANYON LOOP",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOERNE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78006-8513",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-378-7490",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "911 S MAIN ST STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOERNE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78006-2657",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-542-5423",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/13/2025",
    "LastUpdateDate": "10/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BEARDEN",
    "AuthorizedOfficialFirstName": "ANNE",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "210-378-7490",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "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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