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1598026593 NPI number — SUSANA ISAKHAROVA

NPI Number: 1598026593
Health Care Provider/Practitioner: SUSANA ISAKHAROVA

Information about “1598026593” NPI (SUSANA ISAKHAROVA) exists in 1598026593 in HTML format HTML  |  1598026593 in plain Text format TXT  |  1598026593 in PDF (Portable Document Format) PDF  |  1598026593 in an XML format XML  formats.

NPI Number : 1598026593 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598026593",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ISAKHAROVA",
    "FirstName": "SUSANA",
    "MiddleName": null,
    "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": "203 SE 5TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANIA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33004-4143",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-671-7094",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1745 E HALLANDALE BEACH BLVD UNIT 1201W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HALLANDALE BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33009-4664",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-671-7094",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/06/2012",
    "LastUpdateDate": "10/01/2022",
    "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": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "222Q00000X",
          "TaxonomyName": "Developmental Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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