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1912667346 NPI number — GABRIELLA VIERA DPT

NPI Number: 1912667346
Health Care Provider/Practitioner: GABRIELLA VIERA DPT

Information about “1912667346” NPI (GABRIELLA VIERA DPT) exists in 1912667346 in HTML format HTML  |  1912667346 in plain Text format TXT  |  1912667346 in PDF (Portable Document Format) PDF  |  1912667346 in an XML format XML  formats.

NPI Number : 1912667346 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912667346",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VIERA",
    "FirstName": "GABRIELLA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2180 E AQUARIUS PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHANDLER",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85249-2111",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-292-5411",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "21300 N JOHN WAYNE PKWY STE 107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARICOPA",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85139-8964",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "520-868-6100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/27/2021",
    "LastUpdateDate": "12/27/2021",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "LPT-32136",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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