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1881274009 NPI number — TASHIKA GOMEZS HIPPITY HOP PEDIATRIC NP HOUSE CALL SERVICE PLLC

NPI Number: 1881274009
Health Care Provider/Practitioner: TASHIKA GOMEZS HIPPITY HOP PEDIATRIC NP HOUSE CALL SERVICE PLLC

Information about “1881274009” NPI (TASHIKA GOMEZS HIPPITY HOP PEDIATRIC NP HOUSE CALL SERVICE PLLC) exists in 1881274009 in HTML format HTML  |  1881274009 in plain Text format TXT  |  1881274009 in PDF (Portable Document Format) PDF  |  1881274009 in an XML format XML  formats.

NPI Number : 1881274009 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881274009",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TASHIKA GOMEZS HIPPITY HOP PEDIATRIC NP HOUSE CALL SERVICE PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3 GRAHAM CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIVERPOOL",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13090-3916",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-715-5677",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3 GRAHAM CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIVERPOOL",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13090-3916",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-715-5677",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/12/2021",
    "LastUpdateDate": "08/25/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOMEZ",
    "AuthorizedOfficialFirstName": "TASHIKA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "315-715-5677",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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