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1790501104 NPI number — RAMOS THERAPY

NPI Number: 1790501104
Health Care Provider/Practitioner: RAMOS THERAPY

Information about “1790501104” NPI (RAMOS THERAPY) exists in 1790501104 in HTML format HTML  |  1790501104 in plain Text format TXT  |  1790501104 in PDF (Portable Document Format) PDF  |  1790501104 in an XML format XML  formats.

NPI Number : 1790501104 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790501104",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RAMOS THERAPY",
    "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": "787 W LOCUST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DUBUQUE",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52001-4358",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "563-543-4255",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "787 W LOCUST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DUBUQUE",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52001-4358",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "563-543-4255",
    "PracticeLocationAddressFaxNumber": "563-543-4255",
    "EnumerationDate": "12/02/2024",
    "LastUpdateDate": "12/02/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAMOS",
    "AuthorizedOfficialFirstName": "ELIZABETH",
    "AuthorizedOfficialMiddleName": "LEE",
    "AuthorizedOfficialTitle": "MENTAL HEALTH COUNSELOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "563-543-4255",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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