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1174992689 NPI number — NORA J QUINTAL CALVA DPT

NPI Number: 1174992689
Health Care Provider/Practitioner: NORA J QUINTAL CALVA DPT

Information about “1174992689” NPI (NORA J QUINTAL CALVA DPT) exists in 1174992689 in HTML format HTML  |  1174992689 in plain Text format TXT  |  1174992689 in PDF (Portable Document Format) PDF  |  1174992689 in an XML format XML  formats.

NPI Number : 1174992689 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174992689",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "QUINTAL CALVA",
    "FirstName": "NORA",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "QUINTAL",
    "OtherFirstName": "NORA",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "410 TULANE DR SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBUQUERQUE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87106-1418",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-615-9381",
    "MailingAddressFaxNumber": "505-431-3170",
    "FirstLinePracticeLocationAddress": "3538 ANDERSON AVE SE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87106-1612",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-615-9381",
    "PracticeLocationAddressFaxNumber": "505-431-3157",
    "EnumerationDate": "09/15/2015",
    "LastUpdateDate": "02/26/2023",
    "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": "4691",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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