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1861731663 NPI number — RELIANCE SLEEP CENTERS OF AMERICA INC

NPI Number: 1861731663
Health Care Provider/Practitioner: RELIANCE SLEEP CENTERS OF AMERICA INC

Information about “1861731663” NPI (RELIANCE SLEEP CENTERS OF AMERICA INC) exists in 1861731663 in HTML format HTML  |  1861731663 in plain Text format TXT  |  1861731663 in PDF (Portable Document Format) PDF  |  1861731663 in an XML format XML  formats.

NPI Number : 1861731663 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861731663",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "RELIANCE SLEEP CENTERS OF AMERICA INC",
    "ParentOrgTIN": null,
    "OrgName": "RELIANCE SLEEP CENTERS OF AMERICA 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": "87 LINDSEY LANE",
    "SecondLineMailingAddress": "UNIT A",
    "MailingAddressCityName": "KINGSLAND",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31548-6836",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "912-576-6831",
    "MailingAddressFaxNumber": "912-576-6861",
    "FirstLinePracticeLocationAddress": "993 YEOMANS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLACKSHEAR",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31516-2083",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-807-0904",
    "PracticeLocationAddressFaxNumber": "912-807-0904",
    "EnumerationDate": "02/14/2013",
    "LastUpdateDate": "02/14/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHEHEE",
    "AuthorizedOfficialFirstName": "MIKE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPSGT, RST",
    "AuthorizedOfficialTelephoneNumber": "912-388-4556",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QS1200X",
        "TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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