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1700619178 NPI number — AZIZI ANN RICHARDSON ED.S

NPI Number: 1700619178
Health Care Provider/Practitioner: AZIZI ANN RICHARDSON ED.S

Information about “1700619178” NPI (AZIZI ANN RICHARDSON ED.S) exists in 1700619178 in HTML format HTML  |  1700619178 in plain Text format TXT  |  1700619178 in PDF (Portable Document Format) PDF  |  1700619178 in an XML format XML  formats.

NPI Number : 1700619178 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700619178",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICHARDSON",
    "FirstName": "AZIZI",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ED.S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROWN",
    "OtherFirstName": "AZIZI",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ED.S",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1011 UNION ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94607-2236",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-879-8000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 CAPISTRANO DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94603-3520",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-879-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2024",
    "LastUpdateDate": "08/21/2024",
    "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": "103TS0200X",
        "TaxonomyName": "School Psychologist",
        "LicenseNumber": "240117366",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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