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1295635084 NPI number — ELIANA BAILON

NPI Number: 1295635084
Health Care Provider/Practitioner: ELIANA BAILON

Information about “1295635084” NPI (ELIANA BAILON) exists in 1295635084 in HTML format HTML  |  1295635084 in plain Text format TXT  |  1295635084 in PDF (Portable Document Format) PDF  |  1295635084 in an XML format XML  formats.

NPI Number : 1295635084 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295635084",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAILON",
    "FirstName": "ELIANA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 512",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTO DOMINGO PUEBLO",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87052-0512",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-226-5001",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "19 CEDAR TREE PARK",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTO DOMINGO PUEBLO",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87052-1217",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-226-5001",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/06/2026",
    "LastUpdateDate": "11/06/2026",
    "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": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": "G-2122",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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