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1174701395 NPI number — LILIANE BITTENCOURT SCAFIDI P.T.,DPT

NPI Number: 1174701395
Health Care Provider/Practitioner: LILIANE BITTENCOURT SCAFIDI P.T.,DPT

Information about “1174701395” NPI (LILIANE BITTENCOURT SCAFIDI P.T.,DPT) exists in 1174701395 in HTML format HTML  |  1174701395 in plain Text format TXT  |  1174701395 in PDF (Portable Document Format) PDF  |  1174701395 in an XML format XML  formats.

NPI Number : 1174701395 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174701395",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCAFIDI",
    "FirstName": "LILIANE",
    "MiddleName": "BITTENCOURT",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "P.T.,DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DEBITTENCOURT",
    "OtherFirstName": "LILIANE",
    "OtherMiddleName": "SILVA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "403 APRIL WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLETOWN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07748-6510",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "774-488-9513",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "403 APRIL WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07748-6510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "774-488-9513",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/11/2008",
    "LastUpdateDate": "12/10/2014",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "18013",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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