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1831721331 NPI number — LESHON MITCHELL ADMIN ASSIST

NPI Number: 1831721331
Health Care Provider/Practitioner: LESHON MITCHELL ADMIN ASSIST

Information about “1831721331” NPI (LESHON MITCHELL ADMIN ASSIST) exists in 1831721331 in HTML format HTML  |  1831721331 in plain Text format TXT  |  1831721331 in PDF (Portable Document Format) PDF  |  1831721331 in an XML format XML  formats.

NPI Number : 1831721331 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831721331",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MITCHELL",
    "FirstName": "LESHON",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "ADMIN ASSIST",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MITCHELL",
    "OtherFirstName": "LESHON",
    "OtherMiddleName": "KIM",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3810 ROSIN CT STE 170",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95834-1658",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-567-4222",
    "MailingAddressFaxNumber": "916-567-4220",
    "FirstLinePracticeLocationAddress": "3810 ROSIN CT STE 170",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95834-1658",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-567-4222",
    "PracticeLocationAddressFaxNumber": "916-567-4220",
    "EnumerationDate": "02/12/2020",
    "LastUpdateDate": "02/22/2023",
    "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": "172V00000X",
        "TaxonomyName": "Community Health Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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