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1427869338 NPI number — GALINA V JORGENSEN

NPI Number: 1427869338
Health Care Provider/Practitioner: GALINA V JORGENSEN

Information about “1427869338” NPI (GALINA V JORGENSEN) exists in 1427869338 in HTML format HTML  |  1427869338 in plain Text format TXT  |  1427869338 in PDF (Portable Document Format) PDF  |  1427869338 in an XML format XML  formats.

NPI Number : 1427869338 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427869338",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JORGENSEN",
    "FirstName": "GALINA",
    "MiddleName": "V",
    "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": "3488 S 96TH RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FIRTH",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68358-7574",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-621-0142",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "706 LAMONT DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68528-1440",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-621-0142",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/20/2025",
    "LastUpdateDate": "03/01/2025",
    "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": "372500000X",
          "TaxonomyName": "Chore Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "372600000X",
          "TaxonomyName": "Adult Companion",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3747A0650X",
          "TaxonomyName": "Attendant Care Provider",
          "LicenseNumber": "110018",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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