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1518650498 NPI number — BASIRA PANJIYEVA BT

NPI Number: 1518650498
Health Care Provider/Practitioner: BASIRA PANJIYEVA BT

Information about “1518650498” NPI (BASIRA PANJIYEVA BT) exists in 1518650498 in HTML format HTML  |  1518650498 in plain Text format TXT  |  1518650498 in PDF (Portable Document Format) PDF  |  1518650498 in an XML format XML  formats.

NPI Number : 1518650498 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518650498",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PANJIYEVA",
    "FirstName": "BASIRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YUSUBOVA",
    "OtherFirstName": "BESIRE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ST",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "60 DINSMORE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRAMINGHAM",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01702-6013",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-374-3325",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "333 TURNPIKE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHBOROUGH",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01772-1755",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-970-6377",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/29/2023",
    "LastUpdateDate": "05/29/2023",
    "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": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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