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1982554291 NPI number — DESERT FLOWER IV HYDRATION, LLC

NPI Number: 1982554291
Health Care Provider/Practitioner: DESERT FLOWER IV HYDRATION, LLC

Information about “1982554291” NPI (DESERT FLOWER IV HYDRATION, LLC) exists in 1982554291 in HTML format HTML  |  1982554291 in plain Text format TXT  |  1982554291 in PDF (Portable Document Format) PDF  |  1982554291 in an XML format XML  formats.

NPI Number : 1982554291 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982554291",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DESERT FLOWER IV HYDRATION, LLC",
    "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": "1380 RIO RANCHO BLVD NE PMB 282",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIO RANCHO",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87124",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5865 CHACO LOOP NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIO RANCHO",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87144-6342",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-263-8640",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2026",
    "LastUpdateDate": "01/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JONAS",
    "AuthorizedOfficialFirstName": "SUZANNE",
    "AuthorizedOfficialMiddleName": "C.",
    "AuthorizedOfficialTitle": "CO-OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSN, RN",
    "AuthorizedOfficialTelephoneNumber": "505-263-8640",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163WI0500X",
        "TaxonomyName": "Infusion Therapy Registered Nurse",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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