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1801699707 NPI number — TYNER HEALTH CARE LLC

NPI Number: 1801699707
Health Care Provider/Practitioner: TYNER HEALTH CARE LLC

Information about “1801699707” NPI (TYNER HEALTH CARE LLC) exists in 1801699707 in HTML format HTML  |  1801699707 in plain Text format TXT  |  1801699707 in PDF (Portable Document Format) PDF  |  1801699707 in an XML format XML  formats.

NPI Number : 1801699707 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801699707",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TYNER HEALTH CARE 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": "PO BOX 872",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AGOURA HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91376-0872",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-518-7226",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5301 S CONGRESS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTIS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33462-1149",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-965-7300",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/28/2025",
    "LastUpdateDate": "03/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DSADFAR",
    "AuthorizedOfficialFirstName": "NARGUESS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA",
    "AuthorizedOfficialTelephoneNumber": "818-518-7226",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2081P2900X",
        "TaxonomyName": "Pain Medicine (Physical Medicine & Rehabilitation) 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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