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1386874709 NPI number — CHERIL EVANGELISTA CARREON SANCHEZ P.T.

NPI Number: 1386874709
Health Care Provider/Practitioner: CHERIL EVANGELISTA CARREON SANCHEZ P.T.

Information about “1386874709” NPI (CHERIL EVANGELISTA CARREON SANCHEZ P.T.) exists in 1386874709 in HTML format HTML  |  1386874709 in plain Text format TXT  |  1386874709 in PDF (Portable Document Format) PDF  |  1386874709 in an XML format XML  formats.

NPI Number : 1386874709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386874709",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARREON SANCHEZ",
    "FirstName": "CHERIL",
    "MiddleName": "EVANGELISTA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SANCHEZ",
    "OtherFirstName": "CHERIL",
    "OtherMiddleName": "CARREON",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11950 WYNNFIELD LAKES CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32246-4232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-606-7515",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10660 OLD SAINT AUGUSTINE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32257-1076",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-268-3447",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/20/2009",
    "LastUpdateDate": "05/17/2012",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "24699",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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