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1093339020 NPI number — NORA MANAL LAASIRI

NPI Number: 1093339020
Health Care Provider/Practitioner: NORA MANAL LAASIRI

Information about “1093339020” NPI (NORA MANAL LAASIRI) exists in 1093339020 in HTML format HTML  |  1093339020 in plain Text format TXT  |  1093339020 in PDF (Portable Document Format) PDF  |  1093339020 in an XML format XML  formats.

NPI Number : 1093339020 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093339020",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LAASIRI",
    "FirstName": "NORA",
    "MiddleName": "MANAL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1500 CHESTNUT ST APT 5C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19102-2744",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-901-6011",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3401 CIVIC CENTER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19104-4319",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "267-901-6011",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2020",
    "LastUpdateDate": "11/04/2024",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "MA064446",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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