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1225510423 NPI number — CASSI RACQUEL ESTIFAT

NPI Number: 1225510423
Health Care Provider/Practitioner: CASSI RACQUEL ESTIFAT

Information about “1225510423” NPI (CASSI RACQUEL ESTIFAT) exists in 1225510423 in HTML format HTML  |  1225510423 in plain Text format TXT  |  1225510423 in PDF (Portable Document Format) PDF  |  1225510423 in an XML format XML  formats.

NPI Number : 1225510423 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225510423",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ESTIFAT",
    "FirstName": "CASSI",
    "MiddleName": "RACQUEL",
    "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": "2353 HARTSFIELD WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TALLAHASSEE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32303-3468",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "448-867-6359",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "113 S MONROE ST FL 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TALLAHASSEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32301-1529",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "448-867-6359",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/04/2018",
    "LastUpdateDate": "01/08/2026",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "255093",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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