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1811164940 NPI number — ARLEEN D THOMAS

NPI Number: 1811164940
Health Care Provider/Practitioner: ARLEEN D THOMAS

Information about “1811164940” NPI (ARLEEN D THOMAS) exists in 1811164940 in HTML format HTML  |  1811164940 in plain Text format TXT  |  1811164940 in PDF (Portable Document Format) PDF  |  1811164940 in an XML format XML  formats.

NPI Number : 1811164940 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811164940",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ARLEEN D THOMAS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6350 SAN PABLO DAM RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EL SOBRANTE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94803-3632",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-243-1871",
    "MailingAddressFaxNumber": "510-222-2885",
    "FirstLinePracticeLocationAddress": "6350 SAN PABLO DAM RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL SOBRANTE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94803-3632",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-243-1871",
    "PracticeLocationAddressFaxNumber": "510-222-2885",
    "EnumerationDate": "05/08/2008",
    "LastUpdateDate": "03/03/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THOMAS",
    "AuthorizedOfficialFirstName": "ARLEEN",
    "AuthorizedOfficialMiddleName": "DANGOY",
    "AuthorizedOfficialTitle": "MANAGER/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT, MTC, CEES",
    "AuthorizedOfficialTelephoneNumber": "510-243-1871",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": "PT18900",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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