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1689866048 NPI number — CECILIA R BARAJAS M.S.

NPI Number: 1689866048
Health Care Provider/Practitioner: CECILIA R BARAJAS M.S.

Information about “1689866048” NPI (CECILIA R BARAJAS M.S.) exists in 1689866048 in HTML format HTML  |  1689866048 in plain Text format TXT  |  1689866048 in PDF (Portable Document Format) PDF  |  1689866048 in an XML format XML  formats.

NPI Number : 1689866048 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689866048",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARAJAS",
    "FirstName": "CECILIA",
    "MiddleName": "R",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RODRIGUEZ",
    "OtherFirstName": "CECILIA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.S.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11060 MAGNOLIA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIVERSIDE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92505-3047",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-358-6726",
    "MailingAddressFaxNumber": "951-358-7688",
    "FirstLinePracticeLocationAddress": "11060 MAGNOLIA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIVERSIDE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92505",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-358-6415",
    "PracticeLocationAddressFaxNumber": "951-358-7688",
    "EnumerationDate": "08/09/2007",
    "LastUpdateDate": "04/14/2021",
    "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": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MFC50331",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "54309",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "LMFT50331",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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