NPI Code Detail JSON Logo

1750550323 NPI number — ABUNDANT LIFE

NPI Number: 1750550323
Health Care Provider/Practitioner: ABUNDANT LIFE

Information about “1750550323” NPI (ABUNDANT LIFE) exists in 1750550323 in HTML format HTML  |  1750550323 in plain Text format TXT  |  1750550323 in PDF (Portable Document Format) PDF  |  1750550323 in an XML format XML  formats.

NPI Number : 1750550323 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750550323",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ABUNDANT LIFE",
    "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 441",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RANDLEMAN",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27317-0441",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4720 US HIGHWAY 220 BUS N",
    "SecondLinePracticeLocationAddress": "B",
    "PracticeLocationAddressCityName": "ASHEBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27203-3367",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-495-0671",
    "PracticeLocationAddressFaxNumber": "336-495-3204",
    "EnumerationDate": "02/27/2008",
    "LastUpdateDate": "02/01/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DRAKE",
    "AuthorizedOfficialFirstName": "SARWARII",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "336-495-0671",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.