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1457713562 NPI number — RAAHAT SIDDIQUI

NPI Number: 1457713562
Health Care Provider/Practitioner: RAAHAT SIDDIQUI

Information about “1457713562” NPI (RAAHAT SIDDIQUI) exists in 1457713562 in HTML format HTML  |  1457713562 in plain Text format TXT  |  1457713562 in PDF (Portable Document Format) PDF  |  1457713562 in an XML format XML  formats.

NPI Number : 1457713562 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457713562",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIDDIQUI",
    "FirstName": "RAAHAT",
    "MiddleName": null,
    "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": "816 TULIP CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORNEY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75126-2743",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-723-1680",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1675 REPUBLIC PKWY STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MESQUITE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75150-6902",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-817-2457",
    "PracticeLocationAddressFaxNumber": "214-393-5875",
    "EnumerationDate": "03/28/2016",
    "LastUpdateDate": "06/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "0-16-6975",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-22-59383",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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