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1780281162 NPI number — MEDICSLEEP LLC

NPI Number: 1780281162
Health Care Provider/Practitioner: MEDICSLEEP LLC

Information about “1780281162” NPI (MEDICSLEEP LLC) exists in 1780281162 in HTML format HTML  |  1780281162 in plain Text format TXT  |  1780281162 in PDF (Portable Document Format) PDF  |  1780281162 in an XML format XML  formats.

NPI Number : 1780281162 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780281162",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEDICSLEEP 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": "10479 NW 82ND ST UNIT 14",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DORAL",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33178-4408",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-573-4721",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7842 NW 46TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DORAL",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33166-5461",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "347-573-4721",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/08/2020",
    "LastUpdateDate": "10/08/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ALCANTARA",
    "AuthorizedOfficialFirstName": "ERICK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPSGT",
    "AuthorizedOfficialTelephoneNumber": "347-573-4721",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RS0012X",
        "TaxonomyName": "Sleep Medicine (Internal Medicine) Physician",
        "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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