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1871855452 NPI number — SMILES ON THE RUN DENTAL HYGIENE PRACTICE OF KIMBERLY FARRELL RDHAP

NPI Number: 1871855452
Health Care Provider/Practitioner: SMILES ON THE RUN DENTAL HYGIENE PRACTICE OF KIMBERLY FARRELL RDHAP

Information about “1871855452” NPI (SMILES ON THE RUN DENTAL HYGIENE PRACTICE OF KIMBERLY FARRELL RDHAP) exists in 1871855452 in HTML format HTML  |  1871855452 in plain Text format TXT  |  1871855452 in PDF (Portable Document Format) PDF  |  1871855452 in an XML format XML  formats.

NPI Number : 1871855452 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871855452",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SMILES ON THE RUN DENTAL HYGIENE PRACTICE OF KIMBERLY FARRELL RDHAP",
    "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": "26895 ALISO CREEK RD STE B671",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALISO VIEJO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92656-5301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-637-8911",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "26895 ALISO CREEK RD STE B671",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALISO VIEJO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92656-5301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-637-8911",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/11/2012",
    "LastUpdateDate": "06/11/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FARRELL",
    "AuthorizedOfficialFirstName": "KIMBERLY",
    "AuthorizedOfficialMiddleName": "ANN",
    "AuthorizedOfficialTitle": "RDHAP / OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RDHAP",
    "AuthorizedOfficialTelephoneNumber": "949-637-8911",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": "HAP103",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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