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1346781192 NPI number — MARIA ANTONETTE ASPA PT

NPI Number: 1346781192
Health Care Provider/Practitioner: MARIA ANTONETTE ASPA PT

Information about “1346781192” NPI (MARIA ANTONETTE ASPA PT) exists in 1346781192 in HTML format HTML  |  1346781192 in plain Text format TXT  |  1346781192 in PDF (Portable Document Format) PDF  |  1346781192 in an XML format XML  formats.

NPI Number : 1346781192 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346781192",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ASPA",
    "FirstName": "MARIA",
    "MiddleName": "ANTONETTE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ASPA-CORTEZ",
    "OtherFirstName": "MARIA",
    "OtherMiddleName": "ANTONETTE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "11350 RANDOM HILLS RD",
    "SecondLineMailingAddress": "SUITE 800",
    "MailingAddressCityName": "FAIRFAX",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22030-6044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-338-8955",
    "MailingAddressFaxNumber": "703-563-9468",
    "FirstLinePracticeLocationAddress": "11350 RANDOM HILLS RD",
    "SecondLinePracticeLocationAddress": "SUITE 800",
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22030-6044",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-338-8955",
    "PracticeLocationAddressFaxNumber": "703-563-9468",
    "EnumerationDate": "03/13/2017",
    "LastUpdateDate": "03/13/2017",
    "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": "2251X0800X",
        "TaxonomyName": "Orthopedic Physical Therapist",
        "LicenseNumber": "2305205591",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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