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1861160509 NPI number — ADELIE RUAN PLMSW

NPI Number: 1861160509
Health Care Provider/Practitioner: ADELIE RUAN PLMSW

Information about “1861160509” NPI (ADELIE RUAN PLMSW) exists in 1861160509 in HTML format HTML  |  1861160509 in plain Text format TXT  |  1861160509 in PDF (Portable Document Format) PDF  |  1861160509 in an XML format XML  formats.

NPI Number : 1861160509 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861160509",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUAN",
    "FirstName": "ADELIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PLMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 912678",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80291-2678",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-241-5182",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "SOUTH VALLEY HEALTH CENTER",
    "SecondLinePracticeLocationAddress": "2001 CENTROL FAMILIAR SW",
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87105",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-877-4400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/30/2021",
    "LastUpdateDate": "04/12/2025",
    "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": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SWB-2025-0282",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "X-11841",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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