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1831455021 NPI number — VELISLAVA VALENTINOVA LOZEVA DO

NPI Number: 1831455021
Health Care Provider/Practitioner: VELISLAVA VALENTINOVA LOZEVA DO

Information about “1831455021” NPI (VELISLAVA VALENTINOVA LOZEVA DO) exists in 1831455021 in HTML format HTML  |  1831455021 in plain Text format TXT  |  1831455021 in PDF (Portable Document Format) PDF  |  1831455021 in an XML format XML  formats.

NPI Number : 1831455021 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831455021",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOZEVA",
    "FirstName": "VELISLAVA",
    "MiddleName": "VALENTINOVA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3922 MERCY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCHENRY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60050-3179",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "815-344-4499",
    "MailingAddressFaxNumber": "815-344-4779",
    "FirstLinePracticeLocationAddress": "3922 MERCY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCHENRY",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60050-3179",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-344-4499",
    "PracticeLocationAddressFaxNumber": "815-344-4779",
    "EnumerationDate": "04/02/2012",
    "LastUpdateDate": "09/17/2015",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "036-137455",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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