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1093243362 NPI number — JULIA DEYEVA MD

NPI Number: 1093243362
Health Care Provider/Practitioner: JULIA DEYEVA MD

Information about “1093243362” NPI (JULIA DEYEVA MD) exists in 1093243362 in HTML format HTML  |  1093243362 in plain Text format TXT  |  1093243362 in PDF (Portable Document Format) PDF  |  1093243362 in an XML format XML  formats.

NPI Number : 1093243362 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093243362",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEYEVA",
    "FirstName": "JULIA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7311 SPRUCE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW ORLEANS",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70118-5339",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "651-795-1073",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1401 JEFFERSON HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW ORLEANS",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70121-2426",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "504-842-9216",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/31/2017",
    "LastUpdateDate": "06/08/2022",
    "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": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "326181",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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