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Healthcare Organization Stored source record

SAUSALITO HEALING ARTS

85 LIBERTY SHIP WAY, SUITE 103, SAUSALITO, CA, 949653316

atlas:atm_npi_1174061444

Block 1018Block Group 1Census Tract 1302.04Marin CountyCaliforniaUnited States

What is stored

phone
415-332-6061
status
A
address
85 LIBERTY SHIP WAY, SUITE 103, SAUSALITO, CA, 949653316
fax
415-480-1313
npi
1174061444
taxonomy
Physical Therapist
other names
[]
last updated
2017-02-07
taxonomy code
225100000X
all taxonomies
["Physical Therapist"]
enumeration date
2017-02-07
enumeration type
NPI-2
practice locations
0
authorized official
MARYALICE BIONDI
organizational subpart
NO

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{
  "fax": "415-480-1313",
  "npi": "1174061444",
  "phone": "415-332-6061",
  "status": "A",
  "address": "85 LIBERTY SHIP WAY, SUITE 103, SAUSALITO, CA, 949653316",
  "license": null,
  "taxonomy": "Physical Therapist",
  "other_names": [],
  "last_updated": "2017-02-07",
  "license_state": null,
  "taxonomy_code": "225100000X",
  "all_taxonomies": [
    "Physical Therapist"
  ],
  "enumeration_date": "2017-02-07",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "MARYALICE BIONDI",
  "organizational_subpart": "NO"
}