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  1. <?xml version="1.0" encoding="UTF-8"?>
  2. <ApplicationForChangeLicenceHealthCentrePP xmlns="http://schemas.gov.sk/form/VUCBA.zdravotna-starostlivost.ZiadostOZmenuVPovoleniNaPrevadzkovanieZdravotnickehoZariadeniaFO/1.0"
  3. xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
  4. xsi:schemaLocation="http://schemas.gov.sk/form/VUCBA.zdravotna-starostlivost.ZiadostOZmenuVPovoleniNaPrevadzkovanieZdravotnickehoZariadeniaFO/1.0 ZiadostOZmenuVPovoleniNaPrevadzkovanieZdravotnickehoZariadeniaFO.xsd ">
  5. <Applicant>
  6. <PersonData>
  7. <PhysicalPerson>
  8. <PersonName>
  9. <GivenName>Želmíra</GivenName>
  10. <FamilyName>Bolebruchová</FamilyName>
  11. <Affix position="prefix" type="qualification">
  12. <Codelist>
  13. <CodelistCode>CL01</CodelistCode>
  14. <CodelistItem>
  15. <ItemCode>01</ItemCode>
  16. <ItemName>Ing.</ItemName>
  17. </CodelistItem>
  18. </Codelist>
  19. </Affix>
  20. <Affix position="postfix" type="qualification">
  21. <Codelist>
  22. <CodelistCode>CL01</CodelistCode>
  23. <CodelistItem>
  24. <ItemCode>01</ItemCode>
  25. <ItemName>PhD.</ItemName>
  26. </CodelistItem>
  27. </Codelist>
  28. </Affix>
  29. </PersonName>
  30. <Birth>1980-03-01</Birth>
  31. <Citizenship>
  32. <Codelist>
  33. <CodelistCode>CL5454</CodelistCode>
  34. <CodelistItem>
  35. <ItemCode>CL1</ItemCode>
  36. <ItemName>slovenská</ItemName>
  37. </CodelistItem>
  38. </Codelist>
  39. </Citizenship>
  40. </PhysicalPerson>
  41. <CorporateBody>
  42. <LegalForm>
  43. <Codelist>
  44. <CodelistCode>CL000054</CodelistCode>
  45. <CodelistItem>
  46. <ItemCode>42</ItemCode>
  47. <ItemName>Samostatne hospodáriaci roľník</ItemName>
  48. </CodelistItem>
  49. </Codelist>
  50. </LegalForm>
  51. </CorporateBody>
  52. <PhysicalAddress>
  53. <Country>
  54. <Codelist>
  55. <CodelistCode>CL000054</CodelistCode>
  56. <CodelistItem>
  57. <ItemCode>01</ItemCode>
  58. <ItemName>Slovenská republika</ItemName>
  59. </CodelistItem>
  60. </Codelist>
  61. </Country>
  62. <Region>
  63. <Codelist>
  64. <CodelistCode>CL000054</CodelistCode>
  65. <CodelistItem>
  66. <ItemCode>01</ItemCode>
  67. <ItemName>Bratislavský</ItemName>
  68. </CodelistItem>
  69. </Codelist>
  70. </Region>
  71. <County>
  72. <Codelist>
  73. <CodelistCode>CL000054</CodelistCode>
  74. <CodelistItem>
  75. <ItemCode>01</ItemCode>
  76. <ItemName>Senec</ItemName>
  77. </CodelistItem>
  78. </Codelist>
  79. </County>
  80. <Municipality>
  81. <Codelist>
  82. <CodelistCode>CL000054</CodelistCode>
  83. <CodelistItem>
  84. <ItemCode>01</ItemCode>
  85. <ItemName>Ivanka pri Dunaji</ItemName>
  86. </CodelistItem>
  87. </Codelist>
  88. </Municipality>
  89. <District>
  90. <Codelist>
  91. <CodelistCode>CL000054</CodelistCode>
  92. <CodelistItem>
  93. <ItemCode>01</ItemCode>
  94. <ItemName>Farná</ItemName>
  95. </CodelistItem>
  96. </Codelist>
  97. </District>
  98. <StreetName>Moyzesova</StreetName>
  99. <BuildingNumber>38</BuildingNumber>
  100. <PropertyRegistrationNumber>10</PropertyRegistrationNumber>
  101. <BuildingUnit>prízemie</BuildingUnit>
  102. <DeliveryAddress>
  103. <PostalCode>90028</PostalCode>
  104. </DeliveryAddress>
  105. <AddressType>
  106. <AddressClass>
  107. <Codelist>
  108. <CodelistCode>CL000054</CodelistCode>
  109. <CodelistItem>
  110. <ItemCode>01</ItemCode>
  111. <ItemName>prechodný pobyt</ItemName>
  112. </CodelistItem>
  113. </Codelist>
  114. </AddressClass>
  115. </AddressType>
  116. </PhysicalAddress>
  117. <TelephoneAddress>
  118. <TelephoneType>
  119. <Codelist>
  120. <CodelistCode>CL000054</CodelistCode>
  121. <CodelistItem>
  122. <ItemCode>01</ItemCode>
  123. <ItemName>mobil</ItemName>
  124. </CodelistItem>
  125. </Codelist>
  126. </TelephoneType>
  127. <Number>
  128. <FormattedNumber>+421900000000</FormattedNumber>
  129. </Number>
  130. </TelephoneAddress>
  131. <InternetAddress>
  132. <Address>mailto:zelmira@mail.sk</Address>
  133. </InternetAddress>
  134. <InternetAddress>
  135. <Address>http://tesla.org</Address>
  136. </InternetAddress>
  137. <ID>
  138. <IdentifierType>
  139. <Codelist>
  140. <CodelistCode>CL8746</CodelistCode>
  141. <CodelistItem>
  142. <ItemCode>01</ItemCode>
  143. <ItemName>rodné číslo</ItemName>
  144. </CodelistItem>
  145. </Codelist>
  146. </IdentifierType>
  147. <IdentifierValue>779798989</IdentifierValue>
  148. </ID>
  149. </PersonData>
  150. <Change>
  151. <PersonData>
  152. <PhysicalPerson>
  153. <PersonName>
  154. <GivenName>Želmíra</GivenName>
  155. <FamilyName>Bolebruchová-Debrecínová</FamilyName>
  156. <Affix position="prefix" type="qualification">
  157. <Codelist>
  158. <CodelistCode>CL01</CodelistCode>
  159. <CodelistItem>
  160. <ItemCode>01</ItemCode>
  161. <ItemName>Ing.</ItemName>
  162. </CodelistItem>
  163. </Codelist>
  164. </Affix>
  165. <Affix position="postfix" type="qualification">
  166. <Codelist>
  167. <CodelistCode>CL01</CodelistCode>
  168. <CodelistItem>
  169. <ItemCode>01</ItemCode>
  170. <ItemName>PhD.</ItemName>
  171. </CodelistItem>
  172. </Codelist>
  173. </Affix>
  174. </PersonName>
  175. <Birth>1978-05-16</Birth>
  176. <Citizenship>
  177. <Codelist>
  178. <CodelistCode>CL5454</CodelistCode>
  179. <CodelistItem>
  180. <ItemCode>CL1</ItemCode>
  181. <ItemName>slovenská</ItemName>
  182. </CodelistItem>
  183. </Codelist>
  184. </Citizenship>
  185. </PhysicalPerson>
  186. <CorporateBody>
  187. <LegalForm>
  188. <Codelist>
  189. <CodelistCode>CL01</CodelistCode>
  190. <CodelistItem>
  191. <ItemCode>01</ItemCode>
  192. <ItemName>živnostník</ItemName>
  193. </CodelistItem>
  194. </Codelist>
  195. </LegalForm>
  196. </CorporateBody>
  197. <PhysicalAddress>
  198. <Country>
  199. <Codelist>
  200. <CodelistCode>CL000054</CodelistCode>
  201. <CodelistItem>
  202. <ItemCode>01</ItemCode>
  203. <ItemName>Slovenská republika</ItemName>
  204. </CodelistItem>
  205. </Codelist>
  206. </Country>
  207. <Region>
  208. <Codelist>
  209. <CodelistCode>CL000054</CodelistCode>
  210. <CodelistItem>
  211. <ItemCode>01</ItemCode>
  212. <ItemName>Bratislavský</ItemName>
  213. </CodelistItem>
  214. </Codelist>
  215. </Region>
  216. <County>
  217. <Codelist>
  218. <CodelistCode>CL000054</CodelistCode>
  219. <CodelistItem>
  220. <ItemCode>01</ItemCode>
  221. <ItemName>Senec</ItemName>
  222. </CodelistItem>
  223. </Codelist>
  224. </County>
  225. <Municipality>
  226. <Codelist>
  227. <CodelistCode>CL000054</CodelistCode>
  228. <CodelistItem>
  229. <ItemCode>01</ItemCode>
  230. <ItemName>Ivanka pri Dunaji</ItemName>
  231. </CodelistItem>
  232. </Codelist>
  233. </Municipality>
  234. <District>
  235. <Codelist>
  236. <CodelistCode>CL000054</CodelistCode>
  237. <CodelistItem>
  238. <ItemCode>01</ItemCode>
  239. <ItemName>Farná</ItemName>
  240. </CodelistItem>
  241. </Codelist>
  242. </District>
  243. <StreetName>Moyzesova</StreetName>
  244. <BuildingNumber>38</BuildingNumber>
  245. <PropertyRegistrationNumber>10</PropertyRegistrationNumber>
  246. <BuildingUnit>prízemie</BuildingUnit>
  247. <DeliveryAddress>
  248. <PostalCode>90028</PostalCode>
  249. </DeliveryAddress>
  250. <AddressType>
  251. <AddressClass>
  252. <Codelist>
  253. <CodelistCode>CL000054</CodelistCode>
  254. <CodelistItem>
  255. <ItemCode>01</ItemCode>
  256. <ItemName>prechodný pobyt</ItemName>
  257. </CodelistItem>
  258. </Codelist>
  259. </AddressClass>
  260. </AddressType>
  261. </PhysicalAddress>
  262. <ID>
  263. <IdentifierType>
  264. <Codelist>
  265. <CodelistCode>CL8746</CodelistCode>
  266. <CodelistItem>
  267. <ItemCode>01</ItemCode>
  268. <ItemName>rodné číslo</ItemName>
  269. </CodelistItem>
  270. </Codelist>
  271. </IdentifierType>
  272. <IdentifierValue>779798989</IdentifierValue>
  273. </ID>
  274. </PersonData>
  275. </Change>
  276. </Applicant>
  277. <License>
  278. <Number>DR974G</Number>
  279. <Release>2019-05-02</Release>
  280. <Validity>2019-08-02</Validity>
  281. </License>
  282. <HealthCenter>
  283. <Hospital>
  284. <Type>
  285. <Codelist>
  286. <CodelistCode>CL000054</CodelistCode>
  287. <CodelistItem>
  288. <ItemCode>CL</ItemCode>
  289. <ItemName>Lekárenské zariadenie</ItemName>
  290. </CodelistItem>
  291. </Codelist>
  292. </Type>
  293. <Start>2020-05-07</Start>
  294. <Office>
  295. <PhysicalAddress>
  296. <Municipality>
  297. <Codelist>
  298. <CodelistCode>CL000054</CodelistCode>
  299. <CodelistItem>
  300. <ItemCode>01</ItemCode>
  301. <ItemName>Ivanka pri Dunaji</ItemName>
  302. </CodelistItem>
  303. </Codelist>
  304. </Municipality>
  305. <District>
  306. <Codelist>
  307. <CodelistCode>CL000054</CodelistCode>
  308. <CodelistItem>
  309. <ItemCode>01</ItemCode>
  310. <ItemName>Farná</ItemName>
  311. </CodelistItem>
  312. </Codelist>
  313. </District>
  314. <StreetName>Moyzesova</StreetName>
  315. <BuildingNumber>38</BuildingNumber>
  316. <PropertyRegistrationNumber>10</PropertyRegistrationNumber>
  317. <BuildingUnit>prízemie</BuildingUnit>
  318. <DeliveryAddress>
  319. <PostalCode>90028</PostalCode>
  320. </DeliveryAddress>
  321. <AddressType>
  322. <AddressClass>
  323. <Codelist>
  324. <CodelistCode>CL000054</CodelistCode>
  325. <CodelistItem>
  326. <ItemCode>01</ItemCode>
  327. <ItemName>prechodný pobyt</ItemName>
  328. </CodelistItem>
  329. </Codelist>
  330. </AddressClass>
  331. </AddressType>
  332. </PhysicalAddress>
  333. </Office>
  334. <Department>
  335. <Type>
  336. <Codelist>
  337. <CodelistCode>CL000054</CodelistCode>
  338. <CodelistItem>
  339. <ItemCode>01</ItemCode>
  340. <ItemName>lôžkové oddelenie</ItemName>
  341. </CodelistItem>
  342. </Codelist>
  343. </Type>
  344. <FocusOfSpecialization>
  345. <Codelist>
  346. <CodelistCode>CL000054</CodelistCode>
  347. <CodelistItem>
  348. <ItemCode>01</ItemCode>
  349. <ItemName>gastroenterológia</ItemName>
  350. </CodelistItem>
  351. </Codelist>
  352. </FocusOfSpecialization>
  353. <Office>
  354. <PhysicalAddress>
  355. <Municipality>
  356. <Codelist>
  357. <CodelistCode>CL000054</CodelistCode>
  358. <CodelistItem>
  359. <ItemCode>01</ItemCode>
  360. <ItemName>Ivanka pri Dunaji</ItemName>
  361. </CodelistItem>
  362. </Codelist>
  363. </Municipality>
  364. <District>
  365. <Codelist>
  366. <CodelistCode>CL000054</CodelistCode>
  367. <CodelistItem>
  368. <ItemCode>01</ItemCode>
  369. <ItemName>Farná</ItemName>
  370. </CodelistItem>
  371. </Codelist>
  372. </District>
  373. <StreetName>Moyzesova</StreetName>
  374. <BuildingNumber>38</BuildingNumber>
  375. <PropertyRegistrationNumber>10</PropertyRegistrationNumber>
  376. <BuildingUnit>prízemie</BuildingUnit>
  377. <DeliveryAddress>
  378. <PostalCode>90028</PostalCode>
  379. </DeliveryAddress>
  380. <AddressType>
  381. <AddressClass>
  382. <Codelist>
  383. <CodelistCode>CL000054</CodelistCode>
  384. <CodelistItem>
  385. <ItemCode>01</ItemCode>
  386. <ItemName>prechodný pobyt</ItemName>
  387. </CodelistItem>
  388. </Codelist>
  389. </AddressClass>
  390. </AddressType>
  391. </PhysicalAddress>
  392. </Office>
  393. <Contact>
  394. <TelephoneAddress>
  395. <TelephoneType>
  396. <Codelist>
  397. <CodelistCode>CL000054</CodelistCode>
  398. <CodelistItem>
  399. <ItemCode>01</ItemCode>
  400. <ItemName>mobil</ItemName>
  401. </CodelistItem>
  402. </Codelist>
  403. </TelephoneType>
  404. <Number>
  405. <FormattedNumber>+421900000000</FormattedNumber>
  406. </Number>
  407. </TelephoneAddress>
  408. <InternetAddress>
  409. <Address>mailto:zelmira@mail.sk</Address>
  410. </InternetAddress>
  411. </Contact>
  412. </Department>
  413. <Representative>
  414. <PersonData>
  415. <PhysicalPerson>
  416. <PersonName>
  417. <GivenName>Želmíra</GivenName>
  418. <FamilyName>Bolebruchová</FamilyName>
  419. <Affix position="prefix" type="qualification">
  420. <Codelist>
  421. <CodelistCode>CL01</CodelistCode>
  422. <CodelistItem>
  423. <ItemCode>01</ItemCode>
  424. <ItemName>Ing.</ItemName>
  425. </CodelistItem>
  426. </Codelist>
  427. </Affix>
  428. <Affix position="postfix" type="qualification">
  429. <Codelist>
  430. <CodelistCode>CL01</CodelistCode>
  431. <CodelistItem>
  432. <ItemCode>01</ItemCode>
  433. <ItemName>PhD.</ItemName>
  434. </CodelistItem>
  435. </Codelist>
  436. </Affix>
  437. </PersonName>
  438. <Birth>1980-03-01</Birth>
  439. <Citizenship>
  440. <Codelist>
  441. <CodelistCode>CL000054</CodelistCode>
  442. <CodelistItem>
  443. <ItemCode>01</ItemCode>
  444. <ItemName>slovenská</ItemName>
  445. </CodelistItem>
  446. </Codelist>
  447. </Citizenship>
  448. </PhysicalPerson>
  449. <PhysicalAddress>
  450. <Country>
  451. <Codelist>
  452. <CodelistCode>CL000054</CodelistCode>
  453. <CodelistItem>
  454. <ItemCode>01</ItemCode>
  455. <ItemName>Slovenská republika</ItemName>
  456. </CodelistItem>
  457. </Codelist>
  458. </Country>
  459. <Region>
  460. <Codelist>
  461. <CodelistCode>CL000054</CodelistCode>
  462. <CodelistItem>
  463. <ItemCode>01</ItemCode>
  464. <ItemName>Bratislavský</ItemName>
  465. </CodelistItem>
  466. </Codelist>
  467. </Region>
  468. <County>
  469. <Codelist>
  470. <CodelistCode>CL000054</CodelistCode>
  471. <CodelistItem>
  472. <ItemCode>01</ItemCode>
  473. <ItemName>Senec</ItemName>
  474. </CodelistItem>
  475. </Codelist>
  476. </County>
  477. <Municipality>
  478. <Codelist>
  479. <CodelistCode>CL000054</CodelistCode>
  480. <CodelistItem>
  481. <ItemCode>01</ItemCode>
  482. <ItemName>Ivanka pri Dunaji</ItemName>
  483. </CodelistItem>
  484. </Codelist>
  485. </Municipality>
  486. <District>
  487. <Codelist>
  488. <CodelistCode>CL000054</CodelistCode>
  489. <CodelistItem>
  490. <ItemCode>01</ItemCode>
  491. <ItemName>Farná</ItemName>
  492. </CodelistItem>
  493. </Codelist>
  494. </District>
  495. <StreetName> Moyzesova
  496. </StreetName>
  497. <BuildingNumber>38</BuildingNumber>
  498. <PropertyRegistrationNumber>10</PropertyRegistrationNumber>
  499. <BuildingUnit>prízemie</BuildingUnit>
  500. <DeliveryAddress>
  501. <PostalCode>90028</PostalCode>
  502. </DeliveryAddress>
  503. <AddressType>
  504. <AddressClass>
  505. <Codelist>
  506. <CodelistCode>CL000054</CodelistCode>
  507. <CodelistItem>
  508. <ItemCode>01</ItemCode>
  509. <ItemName>prechodný pobyt</ItemName>
  510. </CodelistItem>
  511. </Codelist>
  512. </AddressClass>
  513. </AddressType>
  514. </PhysicalAddress>
  515. <TelephoneAddress>
  516. <TelephoneType>
  517. <Codelist>
  518. <CodelistCode>CL000054</CodelistCode>
  519. <CodelistItem>
  520. <ItemCode>01</ItemCode>
  521. <ItemName>mobil</ItemName>
  522. </CodelistItem>
  523. </Codelist>
  524. </TelephoneType>
  525. <Number>
  526. <FormattedNumber>+421900000000</FormattedNumber>
  527. </Number>
  528. </TelephoneAddress>
  529. <InternetAddress>
  530. <Address>mailto:zelmira@mail.sk</Address>
  531. </InternetAddress>
  532. </PersonData>
  533. <Qualification>
  534. <LaborLawRelationship>Trvalý pracovný pomer</LaborLawRelationship>
  535. <Specialisation>
  536. <Codelist>
  537. <CodelistCode>CL000054</CodelistCode>
  538. <CodelistItem>
  539. <ItemCode>CL</ItemCode>
  540. <ItemName>Chirurgia</ItemName>
  541. </CodelistItem>
  542. </Codelist>
  543. </Specialisation>
  544. <Certification>
  545. <Codelist>
  546. <CodelistCode>CL000054</CodelistCode>
  547. <CodelistItem>
  548. <ItemCode>CL1</ItemCode>
  549. <ItemName>Geriatria</ItemName>
  550. </CodelistItem>
  551. </Codelist>
  552. </Certification>
  553. <FieldOfStudy>
  554. <Codelist>
  555. <CodelistCode>CL000054</CodelistCode>
  556. <CodelistItem>
  557. <ItemCode>CL1</ItemCode>
  558. <ItemName>Všeobecné lekárstvo</ItemName>
  559. </CodelistItem>
  560. </Codelist>
  561. </FieldOfStudy>
  562. <Category>
  563. <Codelist>
  564. <CodelistCode>CL1</CodelistCode>
  565. <CodelistItem>
  566. <ItemCode>01</ItemCode>
  567. <ItemName>zdravotná sestra</ItemName>
  568. </CodelistItem>
  569. </Codelist>
  570. </Category>
  571. </Qualification>
  572. </Representative>
  573. <Identifier>KJHU8978454</Identifier>
  574. <Remove>true</Remove>
  575. </Hospital>
  576. </HealthCenter>
  577. <HealthCenter>
  578. <Ambulance>
  579. <Type>
  580. <Codelist>
  581. <CodelistCode>CL000054</CodelistCode>
  582. <CodelistItem>
  583. <ItemCode>CL</ItemCode>
  584. <ItemName>Lekárenské zariadenie</ItemName>
  585. </CodelistItem>
  586. </Codelist>
  587. </Type>
  588. <FocusOfSpecialization>
  589. <Codelist>
  590. <CodelistCode>CL000054</CodelistCode>
  591. <CodelistItem>
  592. <ItemCode>CL</ItemCode>
  593. <ItemName>dermatovenorológia</ItemName>
  594. </CodelistItem>
  595. </Codelist>
  596. </FocusOfSpecialization>
  597. <Start>2020-05-07</Start>
  598. <Office>
  599. <PhysicalAddress>
  600. <Municipality>
  601. <Codelist>
  602. <CodelistCode>CL000054</CodelistCode>
  603. <CodelistItem>
  604. <ItemCode>01</ItemCode>
  605. <ItemName>Ivanka pri Dunaji</ItemName>
  606. </CodelistItem>
  607. </Codelist>
  608. </Municipality>
  609. <District>
  610. <Codelist>
  611. <CodelistCode>CL000054</CodelistCode>
  612. <CodelistItem>
  613. <ItemCode>01</ItemCode>
  614. <ItemName>Farná</ItemName>
  615. </CodelistItem>
  616. </Codelist>
  617. </District>
  618. <StreetName>Moyzesova</StreetName>
  619. <BuildingNumber>38</BuildingNumber>
  620. <PropertyRegistrationNumber>10</PropertyRegistrationNumber>
  621. <BuildingUnit>prízemie</BuildingUnit>
  622. <DeliveryAddress>
  623. <PostalCode>90028</PostalCode>
  624. </DeliveryAddress>
  625. <AddressType>
  626. <AddressClass>
  627. <Codelist>
  628. <CodelistCode>CL000054</CodelistCode>
  629. <CodelistItem>
  630. <ItemCode>01</ItemCode>
  631. <ItemName>prechodný pobyt</ItemName>
  632. </CodelistItem>
  633. </Codelist>
  634. </AddressClass>
  635. </AddressType>
  636. </PhysicalAddress>
  637. </Office>
  638. <Representative>
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  1830. </Add>
  1831. </ApplicationForChangeLicenceHealthCentrePP>
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