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1427294834 NPI number — MRS. DIMIETRI ROSE HOLLIMON

NPI Number: 1427294834
Health Care Provider/Practitioner: MRS. DIMIETRI ROSE HOLLIMON

Information about “1427294834” NPI (MRS. DIMIETRI ROSE HOLLIMON) exists in 1427294834 in HTML format HTML  |  1427294834 in plain Text format TXT  |  1427294834 in PDF (Portable Document Format) PDF  |  1427294834 in an XML format XML  formats.

NPI Number : 1427294834 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427294834",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLLIMON",
    "FirstName": "DIMIETRI",
    "MiddleName": "ROSE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DANIELS",
    "OtherFirstName": "DIMIETRI",
    "OtherMiddleName": "ROSE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2008 N GAREY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POMONA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91767-2722",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-623-6131",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2008 N GAREY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POMONA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91767-2722",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-623-6131",
    "PracticeLocationAddressFaxNumber": "909-865-9281",
    "EnumerationDate": "01/07/2009",
    "LastUpdateDate": "11/24/2015",
    "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": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "IMF65813",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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