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1255456331 NPI number — FIORITA VALENTINO LAC, LMT, RYT, RM-T

NPI Number: 1255456331
Health Care Provider/Practitioner: FIORITA VALENTINO LAC, LMT, RYT, RM-T

Information about “1255456331” NPI (FIORITA VALENTINO LAC, LMT, RYT, RM-T) exists in 1255456331 in HTML format HTML  |  1255456331 in plain Text format TXT  |  1255456331 in PDF (Portable Document Format) PDF  |  1255456331 in an XML format XML  formats.

NPI Number : 1255456331 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255456331",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VALENTINO",
    "FirstName": "FIORITA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAC, LMT, RYT, RM-T",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VALENTINO",
    "OtherFirstName": "RITA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "365 MACON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRIDGEPORT",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06606-1209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-512-2082",
    "MailingAddressFaxNumber": "475-282-4168",
    "FirstLinePracticeLocationAddress": "246 FEDERAL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKFIELD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06804-2647",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-512-2082",
    "PracticeLocationAddressFaxNumber": "475-282-4168",
    "EnumerationDate": "03/20/2007",
    "LastUpdateDate": "06/03/2016",
    "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": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "000345",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "003049",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "004388",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "015327",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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