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1669284352 NPI number — S& D MARIE ENTERPRISE LIMITED LIABILITY CORPORATION

NPI Number: 1669284352
Health Care Provider/Practitioner: S& D MARIE ENTERPRISE LIMITED LIABILITY CORPORATION

Information about “1669284352” NPI (S& D MARIE ENTERPRISE LIMITED LIABILITY CORPORATION) exists in 1669284352 in HTML format HTML  |  1669284352 in plain Text format TXT  |  1669284352 in PDF (Portable Document Format) PDF  |  1669284352 in an XML format XML  formats.

NPI Number : 1669284352 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669284352",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "S& D MARIE ENTERPRISE LIMITED LIABILITY CORPORATION",
    "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": "35 MENDENHALL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COATESVILLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19320-1234",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-246-0498",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "35 MENDENHALL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COATESVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19320-1234",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-246-0498",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/21/2025",
    "LastUpdateDate": "01/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FULWOOD",
    "AuthorizedOfficialFirstName": "SHARLENE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO-",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD",
    "AuthorizedOfficialTelephoneNumber": "610-246-0498",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "374U00000X",
        "TaxonomyName": "Home Health Aide",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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