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1346182078 NPI number — PAZ & BLOOM LLC

NPI Number: 1346182078
Health Care Provider/Practitioner: PAZ & BLOOM LLC

Information about “1346182078” NPI (PAZ & BLOOM LLC) exists in 1346182078 in HTML format HTML  |  1346182078 in plain Text format TXT  |  1346182078 in PDF (Portable Document Format) PDF  |  1346182078 in an XML format XML  formats.

NPI Number : 1346182078 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346182078",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PAZ & BLOOM LLC",
    "LastName": null,
    "FirstName": null,
    "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": "7325 NE IMBRIE DR # 521",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HILLSBORO",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97124-7595",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "21140 NW CANNES DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97229-7123",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-671-1475",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/09/2026",
    "LastUpdateDate": "04/12/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PAZ",
    "AuthorizedOfficialFirstName": "ANA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT, DPT, CNT, NTMTC",
    "AuthorizedOfficialTelephoneNumber": "832-671-1475",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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