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1255945531 NPI number — LAURA ELENA DUARTE PARRA OTR/L

NPI Number: 1255945531
Health Care Provider/Practitioner: LAURA ELENA DUARTE PARRA OTR/L

Information about “1255945531” NPI (LAURA ELENA DUARTE PARRA OTR/L) exists in 1255945531 in HTML format HTML  |  1255945531 in plain Text format TXT  |  1255945531 in PDF (Portable Document Format) PDF  |  1255945531 in an XML format XML  formats.

NPI Number : 1255945531 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255945531",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUARTE PARRA",
    "FirstName": "LAURA",
    "MiddleName": "ELENA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2518 1ST AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIVER GROVE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60171-1743",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-517-4380",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2400 N SHEFFIELD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60614-3936",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-389-2202",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/03/2020",
    "LastUpdateDate": "04/17/2023",
    "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": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": "RBT-20-132959",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "056015389",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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