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1306781661 NPI number — AGNES ANNA PASION RPSGT

NPI Number: 1306781661
Health Care Provider/Practitioner: AGNES ANNA PASION RPSGT

Information about “1306781661” NPI (AGNES ANNA PASION RPSGT) exists in 1306781661 in HTML format HTML  |  1306781661 in plain Text format TXT  |  1306781661 in PDF (Portable Document Format) PDF  |  1306781661 in an XML format XML  formats.

NPI Number : 1306781661 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306781661",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PASION",
    "FirstName": "AGNES",
    "MiddleName": "ANNA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPSGT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "283 CANTADA WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMERICAN CANYON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94503-3172",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-624-2717",
    "MailingAddressFaxNumber": "707-624-3471",
    "FirstLinePracticeLocationAddress": "1 QUALITY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VACAVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95688-9494",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-624-2717",
    "PracticeLocationAddressFaxNumber": "707-624-3471",
    "EnumerationDate": "04/22/2026",
    "LastUpdateDate": "04/22/2026",
    "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": "247200000X",
        "TaxonomyName": "Other Technician",
        "LicenseNumber": "6673",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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