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1689561326 NPI number — MRS. KENIA DURAN

NPI Number: 1689561326
Health Care Provider/Practitioner: MRS. KENIA DURAN

Information about “1689561326” NPI (MRS. KENIA DURAN) exists in 1689561326 in HTML format HTML  |  1689561326 in plain Text format TXT  |  1689561326 in PDF (Portable Document Format) PDF  |  1689561326 in an XML format XML  formats.

NPI Number : 1689561326 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689561326",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DURAN",
    "FirstName": "KENIA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CASTILLO",
    "OtherFirstName": "KENIA",
    "OtherMiddleName": "MONIQUE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1939 NE 180TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH MIAMI BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33162-1611",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-591-9085",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2433 NW 54TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33142-2945",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-353-2267",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2025",
    "LastUpdateDate": "06/23/2025",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": "RBT-25-436437",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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