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1972335586 NPI number — ELLI ADJEI RRT

NPI Number: 1972335586
Health Care Provider/Practitioner: ELLI ADJEI RRT

Information about “1972335586” NPI (ELLI ADJEI RRT) exists in 1972335586 in HTML format HTML  |  1972335586 in plain Text format TXT  |  1972335586 in PDF (Portable Document Format) PDF  |  1972335586 in an XML format XML  formats.

NPI Number : 1972335586 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972335586",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADJEI",
    "FirstName": "ELLI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RRT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LOPEZ",
    "OtherFirstName": "ELLI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RRT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2345 SATURN CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS CRUCES",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "88012-7727",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-507-4755",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5001 N PIEDRAS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EL PASO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79930-4210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "915-564-6100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2024",
    "LastUpdateDate": "08/14/2024",
    "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": "227900000X",
          "TaxonomyName": "Registered Respiratory Therapist",
          "LicenseNumber": "RCP2001451",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "227900000X",
          "TaxonomyName": "Registered Respiratory Therapist",
          "LicenseNumber": "RCP3808",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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