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1700427937 NPI number — SONIA MAE GARCIA PAULOVICH NP-C

NPI Number: 1700427937
Health Care Provider/Practitioner: SONIA MAE GARCIA PAULOVICH NP-C

Information about “1700427937” NPI (SONIA MAE GARCIA PAULOVICH NP-C) exists in 1700427937 in HTML format HTML  |  1700427937 in plain Text format TXT  |  1700427937 in PDF (Portable Document Format) PDF  |  1700427937 in an XML format XML  formats.

NPI Number : 1700427937 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700427937",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAULOVICH",
    "FirstName": "SONIA MAE",
    "MiddleName": "GARCIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "34025 HARPER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLINTON TWP",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48035-3737",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-445-9900",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "44201 DEQUINDRE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TROY",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48085-1117",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-964-5000",
    "PracticeLocationAddressFaxNumber": "248-964-8420",
    "EnumerationDate": "09/29/2019",
    "LastUpdateDate": "05/26/2023",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "4704295342",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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