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1720370802 NPI number — REHAB AFTER WORK

NPI Number: 1720370802
Health Care Provider/Practitioner: REHAB AFTER WORK

Information about “1720370802” NPI (REHAB AFTER WORK) exists in 1720370802 in HTML format HTML  |  1720370802 in plain Text format TXT  |  1720370802 in PDF (Portable Document Format) PDF  |  1720370802 in an XML format XML  formats.

NPI Number : 1720370802 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720370802",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REHAB AFTER WORK",
    "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": "5405 OKEECHOBEE BLVD",
    "SecondLineMailingAddress": "SUITE 305",
    "MailingAddressCityName": "WEST PALM BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33417-4543",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5001 S FLORIDA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKELAND",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33813-2776",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-788-4584",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/09/2011",
    "LastUpdateDate": "05/09/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GILBERT",
    "AuthorizedOfficialFirstName": "DEJA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "954-788-4584",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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