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1952363301 NPI number — HENRY COUNTY COMMISSIONER OF ROADS AND REVENUES

NPI Number: 1952363301
Health Care Provider/Practitioner: HENRY COUNTY COMMISSIONER OF ROADS AND REVENUES

Information about “1952363301” NPI (HENRY COUNTY COMMISSIONER OF ROADS AND REVENUES) exists in 1952363301 in HTML format HTML  |  1952363301 in plain Text format TXT  |  1952363301 in PDF (Portable Document Format) PDF  |  1952363301 in an XML format XML  formats.

NPI Number : 1952363301 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952363301",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HENRY COUNTY COMMISSIONER OF ROADS AND REVENUES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "110 S ZACK HINTON PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCDONOUGH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30253-3353",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-288-6536",
    "MailingAddressFaxNumber": "770-288-6544",
    "FirstLinePracticeLocationAddress": "110 S ZACK HINTON PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCDONOUGH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30253-3353",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-288-6536",
    "PracticeLocationAddressFaxNumber": "770-288-6544",
    "EnumerationDate": "04/03/2006",
    "LastUpdateDate": "06/17/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JENKINS",
    "AuthorizedOfficialFirstName": "JENNY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "AMBULANCE BILLING MGR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "770-288-6688",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "075-03",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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