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1225826928 NPI number — SITV

NPI Number: 1225826928
Health Care Provider/Practitioner: SITV

Information about “1225826928” NPI (SITV) exists in 1225826928 in HTML format HTML  |  1225826928 in plain Text format TXT  |  1225826928 in PDF (Portable Document Format) PDF  |  1225826928 in an XML format XML  formats.

NPI Number : 1225826928 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225826928",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SITV",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "9051 ECHELON POINT DR UNIT 3014",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89149-3222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "484-378-2395",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9051 ECHELON POINT DR UNIT 3014",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89149-3222",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-378-2395",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/30/2025",
    "LastUpdateDate": "04/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ONSOTI",
    "AuthorizedOfficialFirstName": "MOCHECHE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SLP (OWNER)",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.S.,CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "484-378-2395",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0700X",
        "TaxonomyName": "Hearing and Speech Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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