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1952485617 NPI number — INNOVATIVE JOINT TECHNOLOGIES

NPI Number: 1952485617
Health Care Provider/Practitioner: INNOVATIVE JOINT TECHNOLOGIES

Information about “1952485617” NPI (INNOVATIVE JOINT TECHNOLOGIES) exists in 1952485617 in HTML format HTML  |  1952485617 in plain Text format TXT  |  1952485617 in PDF (Portable Document Format) PDF  |  1952485617 in an XML format XML  formats.

NPI Number : 1952485617 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952485617",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INNOVATIVE JOINT TECHNOLOGIES",
    "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": "420 N CENTER DR",
    "SecondLineMailingAddress": "SUITE 115",
    "MailingAddressCityName": "NORFOLK",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23502-4007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-892-5302",
    "MailingAddressFaxNumber": "757-892-5304",
    "FirstLinePracticeLocationAddress": "420 N CENTER DR",
    "SecondLinePracticeLocationAddress": "SUITE 115",
    "PracticeLocationAddressCityName": "NORFOLK",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23502-4007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-892-5302",
    "PracticeLocationAddressFaxNumber": "757-892-5304",
    "EnumerationDate": "10/25/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOPKINS",
    "AuthorizedOfficialFirstName": "RONALD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRES.",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "C.P.",
    "AuthorizedOfficialTelephoneNumber": "757-892-5302",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "335E00000X",
        "TaxonomyName": "Prosthetic/Orthotic Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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