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1770525461 NPI number — PAUL W. ANDERSON, INC.

NPI Number: 1770525461
Health Care Provider/Practitioner: PAUL W. ANDERSON, INC.

Information about “1770525461” NPI (PAUL W. ANDERSON, INC.) exists in 1770525461 in HTML format HTML  |  1770525461 in plain Text format TXT  |  1770525461 in PDF (Portable Document Format) PDF  |  1770525461 in an XML format XML  formats.

NPI Number : 1770525461 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770525461",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PAUL W. ANDERSON, INC.",
    "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": "49 WESTBURY PARK WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLUFFTON",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29910-8824",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-422-1408",
    "MailingAddressFaxNumber": "843-815-2023",
    "FirstLinePracticeLocationAddress": "49 WESTBURY PARK WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUFFTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29910-8824",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-422-1408",
    "PracticeLocationAddressFaxNumber": "843-815-2023",
    "EnumerationDate": "06/10/2006",
    "LastUpdateDate": "07/20/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ANDERSON",
    "AuthorizedOfficialFirstName": "PAMELA",
    "AuthorizedOfficialMiddleName": "P.",
    "AuthorizedOfficialTitle": "CLINICAL SOCIAL WORKER/OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSW, LISW-CP",
    "AuthorizedOfficialTelephoneNumber": "843-422-1408",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "1055",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "10335",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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