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1245906205 NPI number — GABRIELA ANDREA MOLINA MARQUEZ

NPI Number: 1245906205
Health Care Provider/Practitioner: GABRIELA ANDREA MOLINA MARQUEZ

Information about “1245906205” NPI (GABRIELA ANDREA MOLINA MARQUEZ) exists in 1245906205 in HTML format HTML  |  1245906205 in plain Text format TXT  |  1245906205 in PDF (Portable Document Format) PDF  |  1245906205 in an XML format XML  formats.

NPI Number : 1245906205 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245906205",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOLINA MARQUEZ",
    "FirstName": "GABRIELA",
    "MiddleName": "ANDREA",
    "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": "520 SE 23RD LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOMESTEAD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33033-5789",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-685-4365",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13650 NW 8TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUNRISE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33325-6277",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-289-4356",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/19/2021",
    "LastUpdateDate": "08/11/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "08/21/2021",
    "NPIReactivationDate": "08/11/2022",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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