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1316742224 NPI number — RAZIEL BUSH

NPI Number: 1316742224
Health Care Provider/Practitioner: RAZIEL BUSH

Information about “1316742224” NPI (RAZIEL BUSH) exists in 1316742224 in HTML format HTML  |  1316742224 in plain Text format TXT  |  1316742224 in PDF (Portable Document Format) PDF  |  1316742224 in an XML format XML  formats.

NPI Number : 1316742224 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316742224",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUSH",
    "FirstName": "RAZIEL",
    "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": "1727 SWEETWATER RD STE 117-118",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NATIONAL CITY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91950-7650",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-434-2063",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1727 SWEETWATER RD STE 117-118",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NATIONAL CITY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91950-7650",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-434-2063",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/14/2025",
    "LastUpdateDate": "02/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "57652",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "225700000X",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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