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1972324523 NPI number — JENNIFER LOPEZ

NPI Number: 1972324523
Health Care Provider/Practitioner: JENNIFER LOPEZ

Information about “1972324523” NPI (JENNIFER LOPEZ) exists in 1972324523 in HTML format HTML  |  1972324523 in plain Text format TXT  |  1972324523 in PDF (Portable Document Format) PDF  |  1972324523 in an XML format XML  formats.

NPI Number : 1972324523 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972324523",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOPEZ",
    "FirstName": "JENNIFER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LOPEZ",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "JENNIFER LOPEZ",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "900 VILLAGE SQUARE XING STE 290",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM BEACH GARDENS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33410-4552",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-313-2517",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "603 N FLAMINGO RD STE 350",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PEMBROKE PINES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33028-1013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-435-5100",
    "PracticeLocationAddressFaxNumber": "954-381-8210",
    "EnumerationDate": "10/17/2024",
    "LastUpdateDate": "04/21/2025",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA9120056",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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