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1780208397 NPI number — ELYSSA KARYL JAMORA VALENCERINA PHARM.D.

NPI Number: 1780208397
Health Care Provider/Practitioner: ELYSSA KARYL JAMORA VALENCERINA PHARM.D.

Information about “1780208397” NPI (ELYSSA KARYL JAMORA VALENCERINA PHARM.D.) exists in 1780208397 in HTML format HTML  |  1780208397 in plain Text format TXT  |  1780208397 in PDF (Portable Document Format) PDF  |  1780208397 in an XML format XML  formats.

NPI Number : 1780208397 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780208397",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VALENCERINA",
    "FirstName": "ELYSSA KARYL",
    "MiddleName": "JAMORA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARM.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3275 VALARIE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIMI VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93063-5119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-433-5368",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "975 KIRMAN AVE # 119",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENO",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89502-0997",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-433-5368",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/31/2020",
    "LastUpdateDate": "05/31/2020",
    "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": "1835P0018X",
        "TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
        "LicenseNumber": "P8533",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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