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1073030920 NPI number — PAULA ANDREA ASTRALAGA LCSW

NPI Number: 1073030920
Health Care Provider/Practitioner: PAULA ANDREA ASTRALAGA LCSW

Information about “1073030920” NPI (PAULA ANDREA ASTRALAGA LCSW) exists in 1073030920 in HTML format HTML  |  1073030920 in plain Text format TXT  |  1073030920 in PDF (Portable Document Format) PDF  |  1073030920 in an XML format XML  formats.

NPI Number : 1073030920 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073030920",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ASTRALAGA",
    "FirstName": "PAULA",
    "MiddleName": "ANDREA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11994 MCKINNON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINDERMERE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34786-6123",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "321-689-0195",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13350 W COLONIAL DR STE 340",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER GARDEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34787-3977",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-654-4433",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/22/2017",
    "LastUpdateDate": "07/21/2022",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "SW13888",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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