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1265418008 NPI number — AMARILIS JACOBO DDS

NPI Number: 1265418008
Health Care Provider/Practitioner: AMARILIS JACOBO DDS

Information about “1265418008” NPI (AMARILIS JACOBO DDS) exists in 1265418008 in HTML format HTML  |  1265418008 in plain Text format TXT  |  1265418008 in PDF (Portable Document Format) PDF  |  1265418008 in an XML format XML  formats.

NPI Number : 1265418008 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265418008",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JACOBO",
    "FirstName": "AMARILIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "131 W 110TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10026-4202",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-678-1944",
    "MailingAddressFaxNumber": "121-666-6857",
    "FirstLinePracticeLocationAddress": "131 W 110TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10026-4202",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-678-1944",
    "PracticeLocationAddressFaxNumber": "121-666-6857",
    "EnumerationDate": "12/22/2005",
    "LastUpdateDate": "05/26/2021",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "45577-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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