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1114322328 NPI number — MI BELLA BIRTH

NPI Number: 1114322328
Health Care Provider/Practitioner: MI BELLA BIRTH

Information about “1114322328” NPI (MI BELLA BIRTH) exists in 1114322328 in HTML format HTML  |  1114322328 in plain Text format TXT  |  1114322328 in PDF (Portable Document Format) PDF  |  1114322328 in an XML format XML  formats.

NPI Number : 1114322328 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114322328",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MI BELLA BIRTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27840 VILLA CANYON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CASTAIC",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91384-3732",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-606-8076",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "27840 VILLA CANYON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CASTAIC",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91384",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-606-8076",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/30/2014",
    "LastUpdateDate": "10/30/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GALLO",
    "AuthorizedOfficialFirstName": "TIFFANY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER, MIDWIFE, CA LICENSED MIDWIFE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LM, CPM",
    "AuthorizedOfficialTelephoneNumber": "818-606-8076",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282NW0100X",
        "TaxonomyName": "Women's Hospital",
        "LicenseNumber": "409",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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