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1427857317 NPI number — ANGELO R ROBOWEITRA

NPI Number: 1427857317
Health Care Provider/Practitioner: ANGELO R ROBOWEITRA

Information about “1427857317” NPI (ANGELO R ROBOWEITRA) exists in 1427857317 in HTML format HTML  |  1427857317 in plain Text format TXT  |  1427857317 in PDF (Portable Document Format) PDF  |  1427857317 in an XML format XML  formats.

NPI Number : 1427857317 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427857317",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBOWEITRA",
    "FirstName": "ANGELO",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FLORES-CORK",
    "OtherFirstName": "ANGELO",
    "OtherMiddleName": "R",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "117 4TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHENEY",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99004-1515",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-431-5580",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3209 E 57TH AVE STE H",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99223-7040",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-448-9398",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/12/2025",
    "LastUpdateDate": "03/12/2025",
    "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": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "61642349",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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