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1710688734 NPI number — PAULINE LEONORE LADRIDO DAVID OTR/L

NPI Number: 1710688734
Health Care Provider/Practitioner: PAULINE LEONORE LADRIDO DAVID OTR/L

Information about “1710688734” NPI (PAULINE LEONORE LADRIDO DAVID OTR/L) exists in 1710688734 in HTML format HTML  |  1710688734 in plain Text format TXT  |  1710688734 in PDF (Portable Document Format) PDF  |  1710688734 in an XML format XML  formats.

NPI Number : 1710688734 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710688734",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVID",
    "FirstName": "PAULINE LEONORE",
    "MiddleName": "LADRIDO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LADRIDO",
    "OtherFirstName": "PAULINE LEONORE",
    "OtherMiddleName": "CHIPECO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9140 HEATHER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALTA LOMA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91701-4826",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-354-8905",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "537 E VINE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST COVINA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91790-5126",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-763-4963",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/16/2023",
    "LastUpdateDate": "03/16/2023",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "7324",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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