NPI Code Detail JSON Logo

1689814360 NPI number — AIZNNER USA ENOCH, INC.

NPI Number: 1689814360
Health Care Provider/Practitioner: AIZNNER USA ENOCH, INC.

Information about “1689814360” NPI (AIZNNER USA ENOCH, INC.) exists in 1689814360 in HTML format HTML  |  1689814360 in plain Text format TXT  |  1689814360 in PDF (Portable Document Format) PDF  |  1689814360 in an XML format XML  formats.

NPI Number : 1689814360 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689814360",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AIZNNER USA ENOCH, INC.",
    "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": "12805 MADELEY CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIRFAX",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-650-0822",
    "MailingAddressFaxNumber": "571-287-7427",
    "FirstLinePracticeLocationAddress": "12805 MADELEY CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22033",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-650-0822",
    "PracticeLocationAddressFaxNumber": "571-287-7427",
    "EnumerationDate": "02/20/2009",
    "LastUpdateDate": "02/28/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PARK",
    "AuthorizedOfficialFirstName": "OK",
    "AuthorizedOfficialMiddleName": "JA",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "703-887-5511",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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