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1326575895 NPI number — LUKE SEQUEIRA OTR

NPI Number: 1326575895
Health Care Provider/Practitioner: LUKE SEQUEIRA OTR

Information about “1326575895” NPI (LUKE SEQUEIRA OTR) exists in 1326575895 in HTML format HTML  |  1326575895 in plain Text format TXT  |  1326575895 in PDF (Portable Document Format) PDF  |  1326575895 in an XML format XML  formats.

NPI Number : 1326575895 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326575895",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEQUEIRA",
    "FirstName": "LUKE",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "OTR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9103 SAN GABRIEL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATASCADERO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93422-5413",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "160 W COCHRAN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SIMI VALLEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93065-6215",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-416-3384",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/16/2017",
    "LastUpdateDate": "05/16/2017",
    "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": "225XP0200X",
        "TaxonomyName": "Pediatric Occupational Therapist",
        "LicenseNumber": "OT17391",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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