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1144891466 NPI number — JEZZETTE A. TORELLO CSW

NPI Number: 1144891466
Health Care Provider/Practitioner: JEZZETTE A. TORELLO CSW

Information about “1144891466” NPI (JEZZETTE A. TORELLO CSW) exists in 1144891466 in HTML format HTML  |  1144891466 in plain Text format TXT  |  1144891466 in PDF (Portable Document Format) PDF  |  1144891466 in an XML format XML  formats.

NPI Number : 1144891466 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144891466",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TORELLO",
    "FirstName": "JEZZETTE",
    "MiddleName": "A.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TORELLO",
    "OtherFirstName": "JEZZETTE",
    "OtherMiddleName": "A.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 392",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUCUMCARI",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "88401-0392",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "575-461-9907",
    "MailingAddressFaxNumber": "575-461-9867",
    "FirstLinePracticeLocationAddress": "419 S 2ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUCUMCARI",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "88401-2859",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "575-461-9907",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/07/2021",
    "LastUpdateDate": "07/07/2021",
    "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": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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