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1053606640 NPI number — MRS. CLELIA M HINOJOZA SANTACRUZ

NPI Number: 1053606640
Health Care Provider/Practitioner: MRS. CLELIA M HINOJOZA SANTACRUZ

Information about “1053606640” NPI (MRS. CLELIA M HINOJOZA SANTACRUZ) exists in 1053606640 in HTML format HTML  |  1053606640 in plain Text format TXT  |  1053606640 in PDF (Portable Document Format) PDF  |  1053606640 in an XML format XML  formats.

NPI Number : 1053606640 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053606640",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HINOJOZA SANTACRUZ",
    "FirstName": "CLELIA",
    "MiddleName": "M",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HINOJOZA",
    "OtherFirstName": "CLELIA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW-IPR",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "901 BRIAR RIDGE DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLLEYVILLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "901 BRIAR RIDGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLLEYVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76034-3868",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-905-9618",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2011",
    "LastUpdateDate": "06/13/2011",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "25988",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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