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1285123083 NPI number — MS. TEEVALE ESSIE SAMUELU

NPI Number: 1285123083
Health Care Provider/Practitioner: MS. TEEVALE ESSIE SAMUELU

Information about “1285123083” NPI (MS. TEEVALE ESSIE SAMUELU) exists in 1285123083 in HTML format HTML  |  1285123083 in plain Text format TXT  |  1285123083 in PDF (Portable Document Format) PDF  |  1285123083 in an XML format XML  formats.

NPI Number : 1285123083 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285123083",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAMUELU",
    "FirstName": "TEEVALE",
    "MiddleName": "ESSIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PATI",
    "OtherFirstName": "TEEVALE",
    "OtherMiddleName": "ESSIE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "2748 FASHION AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90810-3141",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-235-1004",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12440 FIRESTONE BLVD STE 3020",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORWALK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90650-9328",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-864-7821",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2018",
    "LastUpdateDate": "05/07/2018",
    "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": "164X00000X",
        "TaxonomyName": "Licensed Vocational Nurse",
        "LicenseNumber": "VN241848",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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