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1679369094 NPI number — BEULAH WOMENS HEALTH LLC

NPI Number: 1679369094
Health Care Provider/Practitioner: BEULAH WOMENS HEALTH LLC

Information about “1679369094” NPI (BEULAH WOMENS HEALTH LLC) exists in 1679369094 in HTML format HTML  |  1679369094 in plain Text format TXT  |  1679369094 in PDF (Portable Document Format) PDF  |  1679369094 in an XML format XML  formats.

NPI Number : 1679369094 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679369094",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BEULAH WOMENS HEALTH 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": "1500 CHESTNUT ST STE 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19102-2700",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-484-4152",
    "MailingAddressFaxNumber": "215-610-5958",
    "FirstLinePracticeLocationAddress": "1500 CHESTNUT ST STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19102-2700",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-484-4152",
    "PracticeLocationAddressFaxNumber": "215-610-5958",
    "EnumerationDate": "04/15/2025",
    "LastUpdateDate": "01/15/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TIGAH",
    "AuthorizedOfficialFirstName": "OBOT",
    "AuthorizedOfficialMiddleName": "GRACE",
    "AuthorizedOfficialTitle": "DNP, WHNP-BC",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "215-459-9480",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LW0102X",
        "TaxonomyName": "Women's Health Nurse Practitioner",
        "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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