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1437546710 NPI number — REBECA MASK MOT, OTR/L

NPI Number: 1437546710
Health Care Provider/Practitioner: REBECA MASK MOT, OTR/L

Information about “1437546710” NPI (REBECA MASK MOT, OTR/L) exists in 1437546710 in HTML format HTML  |  1437546710 in plain Text format TXT  |  1437546710 in PDF (Portable Document Format) PDF  |  1437546710 in an XML format XML  formats.

NPI Number : 1437546710 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437546710",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MASK",
    "FirstName": "REBECA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MOT, OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHERY",
    "OtherFirstName": "REBECA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MOT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1301 1ST ST SW APT 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55902-0337",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "507-358-4852",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "150 MUIR RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARTINEZ",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94553-4668",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-382-8387",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/23/2015",
    "LastUpdateDate": "04/23/2015",
    "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": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "13770",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "104366",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "0003986",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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