NPI Code Detail JSON Logo

1003639626 NPI number — NOELIA ANA BELEN PRENCESVALLE

NPI Number: 1003639626
Health Care Provider/Practitioner: NOELIA ANA BELEN PRENCESVALLE

Information about “1003639626” NPI (NOELIA ANA BELEN PRENCESVALLE) exists in 1003639626 in HTML format HTML  |  1003639626 in plain Text format TXT  |  1003639626 in PDF (Portable Document Format) PDF  |  1003639626 in an XML format XML  formats.

NPI Number : 1003639626 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003639626",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PRENCESVALLE",
    "FirstName": "NOELIA",
    "MiddleName": "ANA BELEN",
    "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": "389 PEARSON CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAPERVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60563-3051",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-902-0081",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2603 S WASHINGTON ST STE 170",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPERVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60565-6377",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "331-472-7132",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/02/2024",
    "LastUpdateDate": "11/02/2024",
    "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": "103TS0200X",
        "TaxonomyName": "School Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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