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1487051140 NPI number — CARLA FRIEDA FUENTESBUENDIA A.A.S. SAC

NPI Number: 1487051140
Health Care Provider/Practitioner: CARLA FRIEDA FUENTESBUENDIA A.A.S. SAC

Information about “1487051140” NPI (CARLA FRIEDA FUENTESBUENDIA A.A.S. SAC) exists in 1487051140 in HTML format HTML  |  1487051140 in plain Text format TXT  |  1487051140 in PDF (Portable Document Format) PDF  |  1487051140 in an XML format XML  formats.

NPI Number : 1487051140 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487051140",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FUENTESBUENDIA",
    "FirstName": "CARLA",
    "MiddleName": "FRIEDA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "A.A.S. SAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2422 N GRANDVIEW BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAUKESHA",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53188-6105",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-549-6600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2422 N GRANDVIEW BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WAUKESHA",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53188-6105",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-549-6600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/24/2014",
    "LastUpdateDate": "12/01/2014",
    "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": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "15928-131",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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