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Objects / Healthcare Organization

Healthcare Organization Stored source record

JAY LABOURENE

1550 TIBURON BLVD STE G, TIBURON, CA, 949202531

atlas:atm_npi_1154891208

Block 1000Block Group 1Census Tract 1230Marin CountyCaliforniaUnited States

What is stored

phone
415-872-0344
status
A
address
1550 TIBURON BLVD STE G, TIBURON, CA, 949202531
npi
1154891208
taxonomy
Surgery
other names
[]
last updated
2018-12-03
taxonomy code
208600000X
all taxonomies
["Surgery"]
enumeration date
2018-12-03
enumeration type
NPI-2
practice locations
0
authorized official
JAY LABOURENE
organizational subpart
NO

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Read fact fields
{
  "npi": "1154891208",
  "phone": "415-872-0344",
  "status": "A",
  "address": "1550 TIBURON BLVD STE G, TIBURON, CA, 949202531",
  "license": null,
  "taxonomy": "Surgery",
  "other_names": [],
  "last_updated": "2018-12-03",
  "license_state": null,
  "taxonomy_code": "208600000X",
  "all_taxonomies": [
    "Surgery"
  ],
  "enumeration_date": "2018-12-03",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "JAY LABOURENE",
  "organizational_subpart": "NO"
}