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1750886289 NPI number — BEAUTIFUL AFFECTATION

NPI Number: 1750886289
Health Care Provider/Practitioner: BEAUTIFUL AFFECTATION

Information about “1750886289” NPI (BEAUTIFUL AFFECTATION) exists in 1750886289 in HTML format HTML  |  1750886289 in plain Text format TXT  |  1750886289 in PDF (Portable Document Format) PDF  |  1750886289 in an XML format XML  formats.

NPI Number : 1750886289 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750886289",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BEAUTIFUL AFFECTATION",
    "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": "1415 ARVILLE ST STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89102-0536",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-353-6738",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1415 ARVILLE ST STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89102-0536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-626-7637",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/27/2018",
    "LastUpdateDate": "03/27/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BINGHAM",
    "AuthorizedOfficialFirstName": "PATRICE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "702-626-7637",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225400000X",
          "TaxonomyName": "Rehabilitation Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251V00000X",
          "TaxonomyName": "Voluntary or Charitable Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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