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1467116376 NPI number — SERENA VILLA MARTINEZ

NPI Number: 1467116376
Health Care Provider/Practitioner: SERENA VILLA MARTINEZ

Information about “1467116376” NPI (SERENA VILLA MARTINEZ) exists in 1467116376 in HTML format HTML  |  1467116376 in plain Text format TXT  |  1467116376 in PDF (Portable Document Format) PDF  |  1467116376 in an XML format XML  formats.

NPI Number : 1467116376 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467116376",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTINEZ",
    "FirstName": "SERENA",
    "MiddleName": "VILLA",
    "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": "PO BOX 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INYOKERN",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93527-0120",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-382-4775",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "732 N NORMA ST UNIT B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIDGECREST",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93555-3507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-454-7281",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/26/2021",
    "LastUpdateDate": "10/26/2021",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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