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1992423263 NPI number — CLG BETA

NPI Number: 1992423263
Health Care Provider/Practitioner: CLG BETA

Information about “1992423263” NPI (CLG BETA) exists in 1992423263 in HTML format HTML  |  1992423263 in plain Text format TXT  |  1992423263 in PDF (Portable Document Format) PDF  |  1992423263 in an XML format XML  formats.

NPI Number : 1992423263 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992423263",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CLG BETA, LLC",
    "ParentOrgTIN": null,
    "OrgName": "CLG BETA",
    "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": "5151 S 900 E",
    "SecondLineMailingAddress": "SUITE 260",
    "MailingAddressCityName": "MURRAY",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84117",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-671-4357",
    "MailingAddressFaxNumber": "385-388-8305",
    "FirstLinePracticeLocationAddress": "5151 S 900 E",
    "SecondLinePracticeLocationAddress": "SUITE 260",
    "PracticeLocationAddressCityName": "MURRAY",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84117",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-671-4357",
    "PracticeLocationAddressFaxNumber": "385-388-8305",
    "EnumerationDate": "08/22/2022",
    "LastUpdateDate": "08/22/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AGURTO",
    "AuthorizedOfficialFirstName": "LUDWIG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "HYPNOTHERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "801-928-4111",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "175L00000X",
          "TaxonomyName": "Homeopath",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "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."
        },
        {
          "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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