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1720692833 NPI number — TGH PHASE 2

NPI Number: 1720692833
Health Care Provider/Practitioner: TGH PHASE 2

Information about “1720692833” NPI (TGH PHASE 2) exists in 1720692833 in HTML format HTML  |  1720692833 in plain Text format TXT  |  1720692833 in PDF (Portable Document Format) PDF  |  1720692833 in an XML format XML  formats.

NPI Number : 1720692833 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720692833",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TGH PHASE 2",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "231 S MAIN ST STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALISBURY",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28144-4971",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "980-330-3037",
    "MailingAddressFaxNumber": "980-330-3057",
    "FirstLinePracticeLocationAddress": "231 S MAIN ST STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALISBURY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28144-4971",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "980-330-3037",
    "PracticeLocationAddressFaxNumber": "980-330-3057",
    "EnumerationDate": "09/04/2020",
    "LastUpdateDate": "02/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOOKER",
    "AuthorizedOfficialFirstName": "TAJUANA",
    "AuthorizedOfficialMiddleName": "GREENARD",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "980-643-7842",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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