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1942878210 NPI number — KRISTEN NICOLE URADZIONEK PT, DPT

NPI Number: 1942878210
Health Care Provider/Practitioner: KRISTEN NICOLE URADZIONEK PT, DPT

Information about “1942878210” NPI (KRISTEN NICOLE URADZIONEK PT, DPT) exists in 1942878210 in HTML format HTML  |  1942878210 in plain Text format TXT  |  1942878210 in PDF (Portable Document Format) PDF  |  1942878210 in an XML format XML  formats.

NPI Number : 1942878210 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942878210",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "URADZIONEK",
    "FirstName": "KRISTEN",
    "MiddleName": "NICOLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7100 W GRANDVIEW RD APT 2151",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEORIA",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85382-4928",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "636-293-0817",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8850 E PIMA CENTER PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85258-4619",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-800-3900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/14/2021",
    "LastUpdateDate": "10/28/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "06/14/2021",
    "NPIReactivationDate": "10/28/2024",
    "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": "31805",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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