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1962693630 NPI number — DELTA INVALID COACH

NPI Number: 1962693630
Health Care Provider/Practitioner: DELTA INVALID COACH

Information about “1962693630” NPI (DELTA INVALID COACH) exists in 1962693630 in HTML format HTML  |  1962693630 in plain Text format TXT  |  1962693630 in PDF (Portable Document Format) PDF  |  1962693630 in an XML format XML  formats.

NPI Number : 1962693630 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962693630",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DELTA INVALID COACH",
    "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": "PO BOX 325",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PATERSON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07544-0325",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-272-3746",
    "MailingAddressFaxNumber": "973-278-7797",
    "FirstLinePracticeLocationAddress": "52 COURTLAND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PATERSON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07503-2947",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-272-3746",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/07/2007",
    "LastUpdateDate": "08/07/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TOTEJA",
    "AuthorizedOfficialFirstName": "SUMEER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BILLING MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "732-906-1800",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "DELT000",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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