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1275954034 NPI number — MRS. STARLYN KANADA ECKERMAN

NPI Number: 1275954034
Health Care Provider/Practitioner: MRS. STARLYN KANADA ECKERMAN

Information about “1275954034” NPI (MRS. STARLYN KANADA ECKERMAN) exists in 1275954034 in HTML format HTML  |  1275954034 in plain Text format TXT  |  1275954034 in PDF (Portable Document Format) PDF  |  1275954034 in an XML format XML  formats.

NPI Number : 1275954034 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275954034",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ECKERMAN",
    "FirstName": "STARLYN",
    "MiddleName": "KANADA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11892 SKYLARK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DESERT HOT SPRINGS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92240-2028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-577-9362",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "58945 BUSINESS CENTER DR",
    "SecondLinePracticeLocationAddress": "STE D",
    "PracticeLocationAddressCityName": "YUCCA VALLEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92284-7307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-228-9657",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/20/2013",
    "LastUpdateDate": "12/20/2013",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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