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1356783575 NPI number — ESTANISLAO ANTONIO MIKALONIS MFT

NPI Number: 1356783575
Health Care Provider/Practitioner: ESTANISLAO ANTONIO MIKALONIS MFT

Information about “1356783575” NPI (ESTANISLAO ANTONIO MIKALONIS MFT) exists in 1356783575 in HTML format HTML  |  1356783575 in plain Text format TXT  |  1356783575 in PDF (Portable Document Format) PDF  |  1356783575 in an XML format XML  formats.

NPI Number : 1356783575 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356783575",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MIKALONIS",
    "FirstName": "ESTANISLAO",
    "MiddleName": "ANTONIO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "810 EMILY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNTAIN VIEW",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94043-2022",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "650-224-2017",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "810 EMILY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNTAIN VIEW",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94043-2022",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-224-2017",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2013",
    "LastUpdateDate": "07/30/2013",
    "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": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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