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1659798312 NPI number — DAVID OTTO PLMSW

NPI Number: 1659798312
Health Care Provider/Practitioner: DAVID OTTO PLMSW

Information about “1659798312” NPI (DAVID OTTO PLMSW) exists in 1659798312 in HTML format HTML  |  1659798312 in plain Text format TXT  |  1659798312 in PDF (Portable Document Format) PDF  |  1659798312 in an XML format XML  formats.

NPI Number : 1659798312 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659798312",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OTTO",
    "FirstName": "DAVID",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PLMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3280 ESPLANADE CIR SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIO RANCHO",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87124-7619",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-464-1126",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2218 SOUTHERN BLVD SE STE 14",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIO RANCHO",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87124-3750",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-994-0161",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/19/2014",
    "LastUpdateDate": "06/12/2025",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "SWB-2025-0601",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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