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1336748896 NPI number — CYNTHIA GARCIA MACDOUGALL

NPI Number: 1336748896
Health Care Provider/Practitioner: CYNTHIA GARCIA MACDOUGALL

Information about “1336748896” NPI (CYNTHIA GARCIA MACDOUGALL) exists in 1336748896 in HTML format HTML  |  1336748896 in plain Text format TXT  |  1336748896 in PDF (Portable Document Format) PDF  |  1336748896 in an XML format XML  formats.

NPI Number : 1336748896 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336748896",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MACDOUGALL",
    "FirstName": "CYNTHIA",
    "MiddleName": "GARCIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MACDOUGALL",
    "OtherFirstName": "CYNTHIA",
    "OtherMiddleName": "GARCIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RDHAP, BS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "444 HERMOSA AVE APT 302",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HERMOSA BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90254-4433",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-376-9001",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "444 HERMOSA AVE APT 302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HERMOSA BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90254-4433",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-376-9001",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/25/2020",
    "LastUpdateDate": "01/23/2021",
    "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": "124Q00000X",
          "TaxonomyName": "Dental Hygienist",
          "LicenseNumber": "23320",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "124Q00000X",
          "TaxonomyName": "Dental Hygienist",
          "LicenseNumber": "805",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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