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1073631719 NPI number — JUDY NEALL EPSTEIN N.D.

NPI Number: 1073631719
Health Care Provider/Practitioner: JUDY NEALL EPSTEIN N.D.

Information about “1073631719” NPI (JUDY NEALL EPSTEIN N.D.) exists in 1073631719 in HTML format HTML  |  1073631719 in plain Text format TXT  |  1073631719 in PDF (Portable Document Format) PDF  |  1073631719 in an XML format XML  formats.

NPI Number : 1073631719 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073631719",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EPSTEIN",
    "FirstName": "JUDY",
    "MiddleName": "NEALL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "N.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEALL",
    "OtherFirstName": "JUDY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "N.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "79525 CETRINO",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA QUINTA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92253-6587",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-329-5538",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "47875 CALEO BAY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA QUINTA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92253-6386",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-771-2332",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/27/2007",
    "LastUpdateDate": "05/04/2018",
    "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": "175F00000X",
          "TaxonomyName": "Naturopath",
          "LicenseNumber": "1119",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175F00000X",
          "TaxonomyName": "Naturopath",
          "LicenseNumber": "ND957",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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