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1669175659 NPI number — VENI VIDI VICI TREATMENT SERVICES, LLC

NPI Number: 1669175659
Health Care Provider/Practitioner: VENI VIDI VICI TREATMENT SERVICES, LLC

Information about “1669175659” NPI (VENI VIDI VICI TREATMENT SERVICES, LLC) exists in 1669175659 in HTML format HTML  |  1669175659 in plain Text format TXT  |  1669175659 in PDF (Portable Document Format) PDF  |  1669175659 in an XML format XML  formats.

NPI Number : 1669175659 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669175659",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "VENI VIDI VICI TREATMENT SERVICES, LLC",
    "ParentOrgTIN": null,
    "OrgName": "VENI VIDI VICI TREATMENT SERVICES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4B NORTH AVE STE 302",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEL AIR",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21014-2304",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-937-3468",
    "MailingAddressFaxNumber": "443-440-5128",
    "FirstLinePracticeLocationAddress": "4B NORTH AVE STE 302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEL AIR",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21014-2304",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-937-3468",
    "PracticeLocationAddressFaxNumber": "443-440-5128",
    "EnumerationDate": "03/27/2023",
    "LastUpdateDate": "05/04/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OBRIEN",
    "AuthorizedOfficialFirstName": "ANASTASIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/PROGRAM DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "443-819-3172",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0400X",
        "TaxonomyName": "Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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