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1881493799 NPI number — RENEWED RADIANCE

NPI Number: 1881493799
Health Care Provider/Practitioner: RENEWED RADIANCE

Information about “1881493799” NPI (RENEWED RADIANCE) exists in 1881493799 in HTML format HTML  |  1881493799 in plain Text format TXT  |  1881493799 in PDF (Portable Document Format) PDF  |  1881493799 in an XML format XML  formats.

NPI Number : 1881493799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881493799",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RENEWED RADIANCE",
    "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": "5256 FAULKNER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DARROW",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70725-2526",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "225-323-6873",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1203 EAST CORNERVIEW STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GONZALES",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70737",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-357-3639",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/12/2025",
    "LastUpdateDate": "03/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARRIS",
    "AuthorizedOfficialFirstName": "CARMESHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/ MANGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "833-357-3639",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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