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1528588506 NPI number — JOAN EVONNE TRABUCCO PSYCH TECH

NPI Number: 1528588506
Health Care Provider/Practitioner: JOAN EVONNE TRABUCCO PSYCH TECH

Information about “1528588506” NPI (JOAN EVONNE TRABUCCO PSYCH TECH) exists in 1528588506 in HTML format HTML  |  1528588506 in plain Text format TXT  |  1528588506 in PDF (Portable Document Format) PDF  |  1528588506 in an XML format XML  formats.

NPI Number : 1528588506 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528588506",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRABUCCO",
    "FirstName": "JOAN",
    "MiddleName": "EVONNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSYCH TECH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2060 CAMPUS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YREKA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "96097-9538",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2060 CAMPUS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YREKA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "96097-9538",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-841-4745",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2017",
    "LastUpdateDate": "06/21/2017",
    "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": "167G00000X",
        "TaxonomyName": "Licensed Psychiatric Technician",
        "LicenseNumber": "30738",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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