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1669258794 NPI number — BRENDA L VALENCIA-BUTLER OTA

NPI Number: 1669258794
Health Care Provider/Practitioner: BRENDA L VALENCIA-BUTLER OTA

Information about “1669258794” NPI (BRENDA L VALENCIA-BUTLER OTA) exists in 1669258794 in HTML format HTML  |  1669258794 in plain Text format TXT  |  1669258794 in PDF (Portable Document Format) PDF  |  1669258794 in an XML format XML  formats.

NPI Number : 1669258794 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669258794",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VALENCIA-BUTLER",
    "FirstName": "BRENDA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14112 BABBLING BROOK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PIEDMONT",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73078-7847",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "580-461-2626",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10613 NW 38TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YUKON",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73099-6003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "580-461-2626",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/05/2023",
    "LastUpdateDate": "09/05/2023",
    "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": "224Z00000X",
        "TaxonomyName": "Occupational Therapy Assistant",
        "LicenseNumber": "1510",
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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