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1811383979 NPI number — VALLEY AREA ENT CLINIC, LLC

NPI Number: 1811383979
Health Care Provider/Practitioner: VALLEY AREA ENT CLINIC, LLC

Information about “1811383979” NPI (VALLEY AREA ENT CLINIC, LLC) exists in 1811383979 in HTML format HTML  |  1811383979 in plain Text format TXT  |  1811383979 in PDF (Portable Document Format) PDF  |  1811383979 in an XML format XML  formats.

NPI Number : 1811383979 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811383979",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
    "ParentOrgTIN": null,
    "OrgName": "VALLEY AREA ENT CLINIC, 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": "11 MEDICAL PARK",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VALLEY",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36854-3665",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-756-2189",
    "MailingAddressFaxNumber": "334-756-2139",
    "FirstLinePracticeLocationAddress": "11 MEDICAL PARK",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VALLEY",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36854-3665",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "334-756-2189",
    "PracticeLocationAddressFaxNumber": "334-756-2139",
    "EnumerationDate": "04/15/2015",
    "LastUpdateDate": "08/18/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRICE",
    "AuthorizedOfficialFirstName": "SAMUEL",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "334-528-1310",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Y00000X",
        "TaxonomyName": "Otolaryngology 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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