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1114409612 NPI number — NORY MEDALITH VELA M.S., SLP

NPI Number: 1114409612
Health Care Provider/Practitioner: NORY MEDALITH VELA M.S., SLP

Information about “1114409612” NPI (NORY MEDALITH VELA M.S., SLP) exists in 1114409612 in HTML format HTML  |  1114409612 in plain Text format TXT  |  1114409612 in PDF (Portable Document Format) PDF  |  1114409612 in an XML format XML  formats.

NPI Number : 1114409612 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114409612",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VELA",
    "FirstName": "NORY",
    "MiddleName": "MEDALITH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S., SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VILA",
    "OtherFirstName": "NORY",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4295 W VISTA CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KISSIMMEE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34746-4038",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-254-2053",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11602 LAKE UNDERHILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32825-4458",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-277-5400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/30/2018",
    "LastUpdateDate": "08/30/2018",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SZ8767",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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