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1063682003 NPI number — SWEETA WALIA DMD

NPI Number: 1063682003
Health Care Provider/Practitioner: SWEETA WALIA DMD

Information about “1063682003” NPI (SWEETA WALIA DMD) exists in 1063682003 in HTML format HTML  |  1063682003 in plain Text format TXT  |  1063682003 in PDF (Portable Document Format) PDF  |  1063682003 in an XML format XML  formats.

NPI Number : 1063682003 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063682003",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALIA",
    "FirstName": "SWEETA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WALIA",
    "OtherFirstName": "SWEETA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3401 WOLFE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75025-2227",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-862-3100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "909 W SPRING CREEK PKWY",
    "SecondLinePracticeLocationAddress": "SUITE 490",
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75023-4472",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-943-5777",
    "PracticeLocationAddressFaxNumber": "972-543-5780",
    "EnumerationDate": "03/05/2008",
    "LastUpdateDate": "08/21/2008",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "22451",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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