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1659196319 NPI number — MARIO LECORPS RN

NPI Number: 1659196319
Health Care Provider/Practitioner: MARIO LECORPS RN

Information about “1659196319” NPI (MARIO LECORPS RN) exists in 1659196319 in HTML format HTML  |  1659196319 in plain Text format TXT  |  1659196319 in PDF (Portable Document Format) PDF  |  1659196319 in an XML format XML  formats.

NPI Number : 1659196319 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659196319",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LECORPS",
    "FirstName": "MARIO",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11706 225TH ST FL 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAMBRIA HEIGHTS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11411-1706",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-712-8511",
    "MailingAddressFaxNumber": "718-527-5624",
    "FirstLinePracticeLocationAddress": "11706 225TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMBRIA HEIGHTS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11411-1706",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-712-8511",
    "PracticeLocationAddressFaxNumber": "718-527-5624",
    "EnumerationDate": "11/18/2024",
    "LastUpdateDate": "11/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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