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1952767394 NPI number — ALEXIS GAGGINI

NPI Number: 1952767394
Health Care Provider/Practitioner: ALEXIS GAGGINI

Information about “1952767394” NPI (ALEXIS GAGGINI) exists in 1952767394 in HTML format HTML  |  1952767394 in plain Text format TXT  |  1952767394 in PDF (Portable Document Format) PDF  |  1952767394 in an XML format XML  formats.

NPI Number : 1952767394 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952767394",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GAGGINI",
    "FirstName": "ALEXIS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3269 N STOCKTON HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KINGMAN",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86409-3619",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "328-681-8738",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1739 E BEVERLY AVE",
    "SecondLinePracticeLocationAddress": "STE 107",
    "PracticeLocationAddressCityName": "KINGMAN",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86409-3593",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-681-8738",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/14/2016",
    "LastUpdateDate": "02/10/2017",
    "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": "1835P2201X",
          "TaxonomyName": "Ambulatory Care Pharmacist",
          "LicenseNumber": "RPH.03335159-3",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835P2201X",
          "TaxonomyName": "Ambulatory Care Pharmacist",
          "LicenseNumber": "RP445567",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835P2201X",
          "TaxonomyName": "Ambulatory Care Pharmacist",
          "LicenseNumber": "2010031678",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1835P2201X",
          "TaxonomyName": "Ambulatory Care Pharmacist",
          "LicenseNumber": "S022273",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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