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1770397366 NPI number — LIVES SAVERS LLC

NPI Number: 1770397366
Health Care Provider/Practitioner: LIVES SAVERS LLC

Information about “1770397366” NPI (LIVES SAVERS LLC) exists in 1770397366 in HTML format HTML  |  1770397366 in plain Text format TXT  |  1770397366 in PDF (Portable Document Format) PDF  |  1770397366 in an XML format XML  formats.

NPI Number : 1770397366 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770397366",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "LIVES SAVERS LLC",
    "ParentOrgTIN": null,
    "OrgName": "LIVES SAVERS LLC",
    "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": "4235 SOUTHERN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAPITOL HEIGHTS",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20743-5767",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-618-3104",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4235 SOUTHERN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAPITOL HEIGHTS",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20743-5767",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-618-3104",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/04/2025",
    "LastUpdateDate": "02/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OSIDELE",
    "AuthorizedOfficialFirstName": "OLUWAKEMI",
    "AuthorizedOfficialMiddleName": "OLUBUNMI",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "240-575-9940",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QU0200X",
        "TaxonomyName": "Urgent Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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