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1881081552 NPI number — AAPOLO SPINE AND PAIN MANAGEMENT CENTER

NPI Number: 1881081552
Health Care Provider/Practitioner: AAPOLO SPINE AND PAIN MANAGEMENT CENTER

Information about “1881081552” NPI (AAPOLO SPINE AND PAIN MANAGEMENT CENTER) exists in 1881081552 in HTML format HTML  |  1881081552 in plain Text format TXT  |  1881081552 in PDF (Portable Document Format) PDF  |  1881081552 in an XML format XML  formats.

NPI Number : 1881081552 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881081552",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AAPOLO SPINE AND PAIN MANAGEMENT CENTER",
    "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": "220 S NORTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARION",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46952-3200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "765-573-6656",
    "MailingAddressFaxNumber": "765-573-6658",
    "FirstLinePracticeLocationAddress": "4215 N 210 E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARION",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46952-6634",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "765-664-8374",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/21/2015",
    "LastUpdateDate": "10/25/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NETTEY",
    "AuthorizedOfficialFirstName": "WILLIAM",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "OWNER/MD",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "765-573-6656",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207LP2900X",
        "TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "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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