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1760343040 NPI number — VALENTIN BACANI ALICANTE OTR/L

NPI Number: 1760343040
Health Care Provider/Practitioner: VALENTIN BACANI ALICANTE OTR/L

Information about “1760343040” NPI (VALENTIN BACANI ALICANTE OTR/L) exists in 1760343040 in HTML format HTML  |  1760343040 in plain Text format TXT  |  1760343040 in PDF (Portable Document Format) PDF  |  1760343040 in an XML format XML  formats.

NPI Number : 1760343040 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760343040",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALICANTE",
    "FirstName": "VALENTIN",
    "MiddleName": "BACANI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALICANTE",
    "OtherFirstName": "ERIK",
    "OtherMiddleName": "VALENTIN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4550 LINCOLN AVE UNIT 214",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CYPRESS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90630-2645",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3680 E IMPERIAL HWY STE 305",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LYNWOOD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90262-2659",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-220-6108",
    "PracticeLocationAddressFaxNumber": "310-220-6109",
    "EnumerationDate": "11/18/2025",
    "LastUpdateDate": "11/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "26501",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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