NPI Code Detail JSON Logo

1124716410 NPI number — TERESA MARIE OROZCO NONE

NPI Number: 1124716410
Health Care Provider/Practitioner: TERESA MARIE OROZCO NONE

Information about “1124716410” NPI (TERESA MARIE OROZCO NONE) exists in 1124716410 in HTML format HTML  |  1124716410 in plain Text format TXT  |  1124716410 in PDF (Portable Document Format) PDF  |  1124716410 in an XML format XML  formats.

NPI Number : 1124716410 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124716410",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OROZCO",
    "FirstName": "TERESA",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NONE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STEWART",
    "OtherFirstName": "TERESA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "NONE",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "41979 MAYBERRY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HEMET",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92544-6480",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-692-2771",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1650 SPRUCE ST STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIVERSIDE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92507-7403",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-357-6926",
    "PracticeLocationAddressFaxNumber": "855-568-2494",
    "EnumerationDate": "04/26/2023",
    "LastUpdateDate": "05/09/2023",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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