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1154932804 NPI number — MEGHAN CHELSEY ALVILLAR

NPI Number: 1154932804
Health Care Provider/Practitioner: MEGHAN CHELSEY ALVILLAR

Information about “1154932804” NPI (MEGHAN CHELSEY ALVILLAR) exists in 1154932804 in HTML format HTML  |  1154932804 in plain Text format TXT  |  1154932804 in PDF (Portable Document Format) PDF  |  1154932804 in an XML format XML  formats.

NPI Number : 1154932804 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154932804",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALVILLAR",
    "FirstName": "MEGHAN",
    "MiddleName": "CHELSEY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BURKE",
    "OtherFirstName": "MEGHAN",
    "OtherMiddleName": "CHELSEY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7560 CUTTING EDGE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89149-3064",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-688-3745",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6600 W CHARLESTON BLVD STE 140",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89146-1067",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-622-2491",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2020",
    "LastUpdateDate": "01/02/2024",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "10715-M",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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