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1972126308 NPI number — LYDIA PARASKEVAS RN

NPI Number: 1972126308
Health Care Provider/Practitioner: LYDIA PARASKEVAS RN

Information about “1972126308” NPI (LYDIA PARASKEVAS RN) exists in 1972126308 in HTML format HTML  |  1972126308 in plain Text format TXT  |  1972126308 in PDF (Portable Document Format) PDF  |  1972126308 in an XML format XML  formats.

NPI Number : 1972126308 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972126308",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PARASKEVAS",
    "FirstName": "LYDIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 99283",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WORTH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76199-1383",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "682-885-6294",
    "MailingAddressFaxNumber": "682-885-1135",
    "FirstLinePracticeLocationAddress": "1101 W VICKERY BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76104-1025",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "682-885-6294",
    "PracticeLocationAddressFaxNumber": "682-885-1135",
    "EnumerationDate": "05/20/2020",
    "LastUpdateDate": "05/20/2020",
    "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": "163WH0200X",
        "TaxonomyName": "Home Health Registered Nurse",
        "LicenseNumber": "530973",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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