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1699863316 NPI number — LAKE COUNTY SHERIFFS OFFICE JAIL TREATMENT PROGRAM

NPI Number: 1699863316
Health Care Provider/Practitioner: LAKE COUNTY SHERIFFS OFFICE JAIL TREATMENT PROGRAM

Information about “1699863316” NPI (LAKE COUNTY SHERIFFS OFFICE JAIL TREATMENT PROGRAM) exists in 1699863316 in HTML format HTML  |  1699863316 in plain Text format TXT  |  1699863316 in PDF (Portable Document Format) PDF  |  1699863316 in an XML format XML  formats.

NPI Number : 1699863316 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699863316",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LAKE COUNTY SHERIFFS OFFICE JAIL TREATMENT PROGRAM",
    "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": "104 EAST ERIE STREET",
    "SecondLineMailingAddress": "LAKE COUNTY SHERIFFS OFFICE SUITE 320",
    "MailingAddressCityName": "PAINESVILLE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44077-3910",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-350-5669",
    "MailingAddressFaxNumber": "440-350-5668",
    "FirstLinePracticeLocationAddress": "104 EAST ERIE STREET",
    "SecondLinePracticeLocationAddress": "SUITE 320",
    "PracticeLocationAddressCityName": "PAINESVILLE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44077-3910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-350-5669",
    "PracticeLocationAddressFaxNumber": "440-350-5668",
    "EnumerationDate": "10/10/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SMITH",
    "AuthorizedOfficialFirstName": "LAWRENCE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PROGRAM DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "BA CCDCIIIE",
    "AuthorizedOfficialTelephoneNumber": "440-350-5669",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "6655",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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