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1396456323 NPI number — SANDRA DAVID ELLE BAKFORD

NPI Number: 1396456323
Health Care Provider/Practitioner: SANDRA DAVID ELLE BAKFORD

Information about “1396456323” NPI (SANDRA DAVID ELLE BAKFORD) exists in 1396456323 in HTML format HTML  |  1396456323 in plain Text format TXT  |  1396456323 in PDF (Portable Document Format) PDF  |  1396456323 in an XML format XML  formats.

NPI Number : 1396456323 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396456323",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKFORD",
    "FirstName": "SANDRA",
    "MiddleName": "DAVID ELLE",
    "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": "15992 E WARNER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80239-5906",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-481-0992",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15992 E WARNER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80239-5906",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-481-0992",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/12/2022",
    "LastUpdateDate": "03/31/2023",
    "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": "172A00000X",
          "TaxonomyName": "Driver",
          "LicenseNumber": "170642426",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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