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1861663247 NPI number — 81 GRAND HOLDINGS INC

NPI Number: 1861663247
Health Care Provider/Practitioner: 81 GRAND HOLDINGS INC

Information about “1861663247” NPI (81 GRAND HOLDINGS INC) exists in 1861663247 in HTML format HTML  |  1861663247 in plain Text format TXT  |  1861663247 in PDF (Portable Document Format) PDF  |  1861663247 in an XML format XML  formats.

NPI Number : 1861663247 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861663247",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "81 GRAND HOLDINGS INC",
    "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": "1539 MCHENRY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MODESTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95350-4528",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-578-3290",
    "MailingAddressFaxNumber": "209-550-4944",
    "FirstLinePracticeLocationAddress": "1539 MCHENRY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MODESTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95350-4528",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-578-3290",
    "PracticeLocationAddressFaxNumber": "209-550-4944",
    "EnumerationDate": "03/13/2008",
    "LastUpdateDate": "11/14/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STECKLER",
    "AuthorizedOfficialFirstName": "JEFFERY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "COTA",
    "AuthorizedOfficialTelephoneNumber": "209-578-3290",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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