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1942741921 NPI number — ENDEAVOR SWALLOWING SOLUTIONS

NPI Number: 1942741921
Health Care Provider/Practitioner: ENDEAVOR SWALLOWING SOLUTIONS

Information about “1942741921” NPI (ENDEAVOR SWALLOWING SOLUTIONS) exists in 1942741921 in HTML format HTML  |  1942741921 in plain Text format TXT  |  1942741921 in PDF (Portable Document Format) PDF  |  1942741921 in an XML format XML  formats.

NPI Number : 1942741921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942741921",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ENDEAVOR SWALLOWING SOLUTIONS",
    "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": "8826 SHELL ISLAND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32216-4706",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-403-5910",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8826 SHELL ISLAND DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32216-4706",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-403-5910",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/10/2017",
    "LastUpdateDate": "03/10/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOSEPH",
    "AuthorizedOfficialFirstName": "CATRINA",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "SPEECH LANGUAGE PATHOLOGIST",
    "AuthorizedOfficialNamePrefix": "MISS",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "904-403-5910",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "320700000X",
          "TaxonomyName": "Physical Disabilities Residential Treatment Facility",
          "LicenseNumber": "SA8479",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "314000000X",
          "TaxonomyName": "Skilled Nursing Facility",
          "LicenseNumber": "SA8479",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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