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1255644480 NPI number — ALESSANDRO PANICCIA

NPI Number: 1255644480
Health Care Provider/Practitioner: ALESSANDRO PANICCIA

Information about “1255644480” NPI (ALESSANDRO PANICCIA) exists in 1255644480 in HTML format HTML  |  1255644480 in plain Text format TXT  |  1255644480 in PDF (Portable Document Format) PDF  |  1255644480 in an XML format XML  formats.

NPI Number : 1255644480 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255644480",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PANICCIA",
    "FirstName": "ALESSANDRO",
    "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": "3550 TERRACE STREET 425 SCAIFE HALL",
    "SecondLineMailingAddress": "3RD FLOOR PRESBY",
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15261-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3550 TERRACE STREET",
    "SecondLinePracticeLocationAddress": "3RD FLOOR PRESBY",
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15261-2527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-235-1307",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2010",
    "LastUpdateDate": "05/24/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2086X0206X",
        "TaxonomyName": "Surgical Oncology Physician",
        "LicenseNumber": "MD460102",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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