NPI Code Detail JSON Logo

1093470577 NPI number — OLGA TOLOKNOVA DPT

NPI Number: 1093470577
Health Care Provider/Practitioner: OLGA TOLOKNOVA DPT

Information about “1093470577” NPI (OLGA TOLOKNOVA DPT) exists in 1093470577 in HTML format HTML  |  1093470577 in plain Text format TXT  |  1093470577 in PDF (Portable Document Format) PDF  |  1093470577 in an XML format XML  formats.

NPI Number : 1093470577 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093470577",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TOLOKNOVA",
    "FirstName": "OLGA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "673 ALBERTA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUNNYVALE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94087-4360",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-672-0587",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "401 WEBSTER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALO ALTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94301-1244",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-327-4333",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2021",
    "LastUpdateDate": "06/02/2022",
    "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": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "301001",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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