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1669857736 NPI number — CHRISTINE MARIE BAKER LVN,CPT 1, RMA (AMT)

NPI Number: 1669857736
Health Care Provider/Practitioner: CHRISTINE MARIE BAKER LVN,CPT 1, RMA (AMT)

Information about “1669857736” NPI (CHRISTINE MARIE BAKER LVN,CPT 1, RMA (AMT)) exists in 1669857736 in HTML format HTML  |  1669857736 in plain Text format TXT  |  1669857736 in PDF (Portable Document Format) PDF  |  1669857736 in an XML format XML  formats.

NPI Number : 1669857736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669857736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAKER",
    "FirstName": "CHRISTINE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LVN,CPT 1, RMA (AMT)",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3832 HOWARD AVE APT 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ALAMITOS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90720-3626",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-810-6828",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "550 N FLOWER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92703-2361",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-647-4172",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/29/2015",
    "LastUpdateDate": "11/04/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "10/22/2024",
    "NPIReactivationDate": "11/04/2024",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "246RP1900X",
          "TaxonomyName": "Phlebotomy Technician",
          "LicenseNumber": "CPT00050184",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "164X00000X",
          "TaxonomyName": "Licensed Vocational Nurse",
          "LicenseNumber": "742568",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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