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1386875276 NPI number — SALVATORE ANTHONY DEPASQUALE SA-C

NPI Number: 1386875276
Health Care Provider/Practitioner: SALVATORE ANTHONY DEPASQUALE SA-C

Information about “1386875276” NPI (SALVATORE ANTHONY DEPASQUALE SA-C) exists in 1386875276 in HTML format HTML  |  1386875276 in plain Text format TXT  |  1386875276 in PDF (Portable Document Format) PDF  |  1386875276 in an XML format XML  formats.

NPI Number : 1386875276 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386875276",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEPASQUALE",
    "FirstName": "SALVATORE",
    "MiddleName": "ANTHONY",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "SA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DEPASQUALE",
    "OtherFirstName": "SAM",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "SA-C",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8238 KNICKERBOCKER PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT JOHN",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46373-9438",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-990-8737",
    "MailingAddressFaxNumber": "708-564-5062",
    "FirstLinePracticeLocationAddress": "8238 KNICKERBOCKER PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT JOHN",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46373-9438",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-990-8737",
    "PracticeLocationAddressFaxNumber": "708-564-5062",
    "EnumerationDate": "07/27/2009",
    "LastUpdateDate": "04/25/2023",
    "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": "246ZC0007X",
        "TaxonomyName": "Surgical Assistant",
        "LicenseNumber": "238.000224",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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