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1013230440 NPI number — MIRIAM MONA GAFFER FERREIRA PA-C

NPI Number: 1013230440
Health Care Provider/Practitioner: MIRIAM MONA GAFFER FERREIRA PA-C

Information about “1013230440” NPI (MIRIAM MONA GAFFER FERREIRA PA-C) exists in 1013230440 in HTML format HTML  |  1013230440 in plain Text format TXT  |  1013230440 in PDF (Portable Document Format) PDF  |  1013230440 in an XML format XML  formats.

NPI Number : 1013230440 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013230440",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GAFFER FERREIRA",
    "FirstName": "MIRIAM",
    "MiddleName": "MONA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "28094 PETRINA CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAYWARD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94545-4968",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-783-5978",
    "MailingAddressFaxNumber": "510-783-5978",
    "FirstLinePracticeLocationAddress": "2828 TELEGRAPH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BERKELEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94705-1119",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-848-8404",
    "PracticeLocationAddressFaxNumber": "510-848-6312",
    "EnumerationDate": "03/12/2010",
    "LastUpdateDate": "03/12/2010",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "PA20883",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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