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1134959596 NPI number — JUSTICE DANIEL FELIPE DPT, CSCS

NPI Number: 1134959596
Health Care Provider/Practitioner: JUSTICE DANIEL FELIPE DPT, CSCS

Information about “1134959596” NPI (JUSTICE DANIEL FELIPE DPT, CSCS) exists in 1134959596 in HTML format HTML  |  1134959596 in plain Text format TXT  |  1134959596 in PDF (Portable Document Format) PDF  |  1134959596 in an XML format XML  formats.

NPI Number : 1134959596 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134959596",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FELIPE",
    "FirstName": "JUSTICE",
    "MiddleName": "DANIEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT,  CSCS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5620 RAINIER AVE S # 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98118-2498",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-535-8061",
    "MailingAddressFaxNumber": "206-535-8064",
    "FirstLinePracticeLocationAddress": "4351 15TH AVE S # 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98108-1474",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-620-1589",
    "PracticeLocationAddressFaxNumber": "206-629-6052",
    "EnumerationDate": "08/01/2024",
    "LastUpdateDate": "08/01/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT61580933",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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