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1891923231 NPI number — AJA CARRILLO SLP

NPI Number: 1891923231
Health Care Provider/Practitioner: AJA CARRILLO SLP

Information about “1891923231” NPI (AJA CARRILLO SLP) exists in 1891923231 in HTML format HTML  |  1891923231 in plain Text format TXT  |  1891923231 in PDF (Portable Document Format) PDF  |  1891923231 in an XML format XML  formats.

NPI Number : 1891923231 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891923231",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARRILLO",
    "FirstName": "AJA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WHATLEY",
    "OtherFirstName": "AJA",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS SLP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "310 A ST APT 1807",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92101-4314",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-481-3114",
    "MailingAddressFaxNumber": "877-215-7951",
    "FirstLinePracticeLocationAddress": "420 JAMES RIVER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GULF BREEZE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32561-4867",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "831-309-2101",
    "PracticeLocationAddressFaxNumber": "877-215-7951",
    "EnumerationDate": "06/24/2009",
    "LastUpdateDate": "07/19/2022",
    "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": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "32410",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "SA10343",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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