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1881102036 NPI number — CORE BRACE AND BIOSTIMULATION

NPI Number: 1881102036
Health Care Provider/Practitioner: CORE BRACE AND BIOSTIMULATION

Information about “1881102036” NPI (CORE BRACE AND BIOSTIMULATION) exists in 1881102036 in HTML format HTML  |  1881102036 in plain Text format TXT  |  1881102036 in PDF (Portable Document Format) PDF  |  1881102036 in an XML format XML  formats.

NPI Number : 1881102036 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881102036",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CORE BRACE AND BIOSTIMULATION",
    "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": "1001 VILLAGE PARK DR STE 106",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENSBORO",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30642-5101",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-392-2675",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1001 VILLAGE PARK DR STE 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENSBORO",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30642-5101",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-392-2675",
    "PracticeLocationAddressFaxNumber": "678-782-7571",
    "EnumerationDate": "01/22/2018",
    "LastUpdateDate": "06/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THOMAS",
    "AuthorizedOfficialFirstName": "KEITH",
    "AuthorizedOfficialMiddleName": "ALAN",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "404-392-2675",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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