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1023047834 NPI number — MYVANNE LUMAPAS JURGRAU PT

NPI Number: 1023047834
Health Care Provider/Practitioner: MYVANNE LUMAPAS JURGRAU PT

Information about “1023047834” NPI (MYVANNE LUMAPAS JURGRAU PT) exists in 1023047834 in HTML format HTML  |  1023047834 in plain Text format TXT  |  1023047834 in PDF (Portable Document Format) PDF  |  1023047834 in an XML format XML  formats.

NPI Number : 1023047834 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023047834",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JURGRAU",
    "FirstName": "MYVANNE",
    "MiddleName": "LUMAPAS",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUMAPAS",
    "OtherFirstName": "MYVANNE",
    "OtherMiddleName": "SIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4480 NW 49TH CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COCONUT CREEK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33073-2922",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-801-3435",
    "MailingAddressFaxNumber": "954-708-2466",
    "FirstLinePracticeLocationAddress": "4480 NW 49TH CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COCONUT CREEK",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33073-2922",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-801-3435",
    "PracticeLocationAddressFaxNumber": "954-708-2466",
    "EnumerationDate": "07/02/2006",
    "LastUpdateDate": "04/19/2012",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT22539",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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