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1649245051 NPI number — JULIANNA ELAINE KRILL DPT

NPI Number: 1649245051
Health Care Provider/Practitioner: JULIANNA ELAINE KRILL DPT

Information about “1649245051” NPI (JULIANNA ELAINE KRILL DPT) exists in 1649245051 in HTML format HTML  |  1649245051 in plain Text format TXT  |  1649245051 in PDF (Portable Document Format) PDF  |  1649245051 in an XML format XML  formats.

NPI Number : 1649245051 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649245051",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KRILL",
    "FirstName": "JULIANNA",
    "MiddleName": "ELAINE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CLEMENTS",
    "OtherFirstName": "JULIANNA",
    "OtherMiddleName": "ELAINE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1535 WILD OAK LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95648-8236",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-543-8443",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6600 MERCY CT",
    "SecondLinePracticeLocationAddress": "SUITE 180",
    "PracticeLocationAddressCityName": "FAIR OAKS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95628-3158",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-962-3662",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/20/2006",
    "LastUpdateDate": "11/29/2021",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "30082",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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