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1548496961 NPI number — LARISA ROXANNE SANCHEZ M.S.

NPI Number: 1548496961
Health Care Provider/Practitioner: LARISA ROXANNE SANCHEZ M.S.

Information about “1548496961” NPI (LARISA ROXANNE SANCHEZ M.S.) exists in 1548496961 in HTML format HTML  |  1548496961 in plain Text format TXT  |  1548496961 in PDF (Portable Document Format) PDF  |  1548496961 in an XML format XML  formats.

NPI Number : 1548496961 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548496961",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANCHEZ",
    "FirstName": "LARISA",
    "MiddleName": "ROXANNE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KLAPPERICH",
    "OtherFirstName": "LARISA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "15 SOUTH GRADY WAY #336",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98057",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-988-3744",
    "MailingAddressFaxNumber": "425-687-2646",
    "FirstLinePracticeLocationAddress": "15 SOUTH GRADY WAY #336",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENTON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98057",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-988-3744",
    "PracticeLocationAddressFaxNumber": "425-687-2646",
    "EnumerationDate": "06/01/2009",
    "LastUpdateDate": "04/30/2015",
    "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": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "3502",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "LL60459783",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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