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1922417849 NPI number — ULTICARE MEDICAL GROUP,INC

NPI Number: 1922417849
Health Care Provider/Practitioner: ULTICARE MEDICAL GROUP,INC

Information about “1922417849” NPI (ULTICARE MEDICAL GROUP,INC) exists in 1922417849 in HTML format HTML  |  1922417849 in plain Text format TXT  |  1922417849 in PDF (Portable Document Format) PDF  |  1922417849 in an XML format XML  formats.

NPI Number : 1922417849 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922417849",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ULTICARE MEDICAL GROUP,INC",
    "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": "4601 PINECREST OFFICE PARK DR",
    "SecondLineMailingAddress": "SUITE F",
    "MailingAddressCityName": "ALEXANDRIA",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22312-1442",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4601 PINECREST OFFICE PARK DR",
    "SecondLinePracticeLocationAddress": "SUITE F",
    "PracticeLocationAddressCityName": "ALEXANDRIA",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22312-1442",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-445-4009",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2014",
    "LastUpdateDate": "08/05/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ANUKWU",
    "AuthorizedOfficialFirstName": "SETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "703-445-4009",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": "HCO-151154",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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