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1164318713 NPI number — KYLIE GIANNA DANELO

NPI Number: 1164318713
Health Care Provider/Practitioner: KYLIE GIANNA DANELO

Information about “1164318713” NPI (KYLIE GIANNA DANELO) exists in 1164318713 in HTML format HTML  |  1164318713 in plain Text format TXT  |  1164318713 in PDF (Portable Document Format) PDF  |  1164318713 in an XML format XML  formats.

NPI Number : 1164318713 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164318713",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DANELO",
    "FirstName": "KYLIE",
    "MiddleName": "GIANNA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1920 S MORAY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN PEDRO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90732-4318",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-994-4793",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1250 N BELLFLOWER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONG BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90840-0004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-985-4111",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/17/2025",
    "LastUpdateDate": "06/17/2025",
    "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": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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