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1730889593 NPI number — SOWEGA AUTISM & PSYCHIATRY

NPI Number: 1730889593
Health Care Provider/Practitioner: SOWEGA AUTISM & PSYCHIATRY

Information about “1730889593” NPI (SOWEGA AUTISM & PSYCHIATRY) exists in 1730889593 in HTML format HTML  |  1730889593 in plain Text format TXT  |  1730889593 in PDF (Portable Document Format) PDF  |  1730889593 in an XML format XML  formats.

NPI Number : 1730889593 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730889593",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SOWEGA AUTISM & PSYCHIATRY",
    "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": "4804 GRANDVIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBANY",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31721-9426",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-869-2584",
    "MailingAddressFaxNumber": "229-800-5548",
    "FirstLinePracticeLocationAddress": "1909 ABERDEEN RD STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBANY",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31701-1300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-800-5547",
    "PracticeLocationAddressFaxNumber": "229-800-5548",
    "EnumerationDate": "03/08/2023",
    "LastUpdateDate": "03/08/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JONES",
    "AuthorizedOfficialFirstName": "FLORA",
    "AuthorizedOfficialMiddleName": "I",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP-BC, PMHNP-BC",
    "AuthorizedOfficialTelephoneNumber": "229-869-2584",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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