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1316750953 NPI number — ELICIA LANEAL ARNOLD MSW

NPI Number: 1316750953
Health Care Provider/Practitioner: ELICIA LANEAL ARNOLD MSW

Information about “1316750953” NPI (ELICIA LANEAL ARNOLD MSW) exists in 1316750953 in HTML format HTML  |  1316750953 in plain Text format TXT  |  1316750953 in PDF (Portable Document Format) PDF  |  1316750953 in an XML format XML  formats.

NPI Number : 1316750953 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316750953",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ARNOLD",
    "FirstName": "ELICIA",
    "MiddleName": "LANEAL",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12254 CHICORY CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ETIWANDA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91739-9033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-345-8054",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1481 WINDSOR DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN BERNARDINO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92404-5416",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-361-6470",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2025",
    "LastUpdateDate": "01/28/2025",
    "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": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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