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1710445309 NPI number — SHAY AND IBN MANAGEMENT

NPI Number: 1710445309
Health Care Provider/Practitioner: SHAY AND IBN MANAGEMENT

Information about “1710445309” NPI (SHAY AND IBN MANAGEMENT) exists in 1710445309 in HTML format HTML  |  1710445309 in plain Text format TXT  |  1710445309 in PDF (Portable Document Format) PDF  |  1710445309 in an XML format XML  formats.

NPI Number : 1710445309 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710445309",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SHAY AND IBN MANAGEMENT",
    "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": "PO BOX 52283",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19115-7283",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-842-5128",
    "MailingAddressFaxNumber": "267-297-5181",
    "FirstLinePracticeLocationAddress": "5313 N 5TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19120-3203",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "267-331-8905",
    "PracticeLocationAddressFaxNumber": "267-297-8191",
    "EnumerationDate": "03/04/2019",
    "LastUpdateDate": "03/04/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WILLIAMS",
    "AuthorizedOfficialFirstName": "DINAH",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "267-331-8905",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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