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1003567991 NPI number — VANESA BEDOYA BAQUERO M.S., C-F SLP

NPI Number: 1003567991
Health Care Provider/Practitioner: VANESA BEDOYA BAQUERO M.S., C-F SLP

Information about “1003567991” NPI (VANESA BEDOYA BAQUERO M.S., C-F SLP) exists in 1003567991 in HTML format HTML  |  1003567991 in plain Text format TXT  |  1003567991 in PDF (Portable Document Format) PDF  |  1003567991 in an XML format XML  formats.

NPI Number : 1003567991 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003567991",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAQUERO",
    "FirstName": "VANESA",
    "MiddleName": "BEDOYA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., C-F SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BEDOYA",
    "OtherFirstName": "VANESSA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S., C-F SLP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4500 BOTANICAL PLACE CIR APT 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAPLES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34112-2421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-682-9314",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6734 LONE OAK BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPLES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34109-6834",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-597-0935",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/12/2022",
    "LastUpdateDate": "01/12/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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