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1265468193 NPI number — BETHANY ALYCE ADLER AUD

NPI Number: 1265468193
Health Care Provider/Practitioner: BETHANY ALYCE ADLER AUD

Information about “1265468193” NPI (BETHANY ALYCE ADLER AUD) exists in 1265468193 in HTML format HTML  |  1265468193 in plain Text format TXT  |  1265468193 in PDF (Portable Document Format) PDF  |  1265468193 in an XML format XML  formats.

NPI Number : 1265468193 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265468193",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADLER",
    "FirstName": "BETHANY",
    "MiddleName": "ALYCE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AUD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "FILE #55745",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90074-5745",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-626-4617",
    "MailingAddressFaxNumber": "909-626-7356",
    "FirstLinePracticeLocationAddress": "554 E BASELINE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLAREMONT",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91711-2236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-626-4617",
    "PracticeLocationAddressFaxNumber": "909-626-7356",
    "EnumerationDate": "06/23/2006",
    "LastUpdateDate": "11/29/2021",
    "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": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "AU 2396",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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