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1215046412 NPI number — XOCHITL DUARTE ANDERTON DDS

NPI Number: 1215046412
Health Care Provider/Practitioner: XOCHITL DUARTE ANDERTON DDS

Information about “1215046412” NPI (XOCHITL DUARTE ANDERTON DDS) exists in 1215046412 in HTML format HTML  |  1215046412 in plain Text format TXT  |  1215046412 in PDF (Portable Document Format) PDF  |  1215046412 in an XML format XML  formats.

NPI Number : 1215046412 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215046412",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERTON",
    "FirstName": "XOCHITL",
    "MiddleName": "DUARTE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAMOS",
    "OtherFirstName": "XOCHITL",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9105 LOLA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUBBOCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79424",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-495-3600",
    "MailingAddressFaxNumber": "806-303-5003",
    "FirstLinePracticeLocationAddress": "1002 N. AVENUE S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POST",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79356",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-495-3600",
    "PracticeLocationAddressFaxNumber": "806-303-5003",
    "EnumerationDate": "08/30/2006",
    "LastUpdateDate": "10/15/2025",
    "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": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "21263",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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