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1720806953 NPI number — MARCEL SASSOLA III RPH

NPI Number: 1720806953
Health Care Provider/Practitioner: MARCEL SASSOLA III RPH

Information about “1720806953” NPI (MARCEL SASSOLA III RPH) exists in 1720806953 in HTML format HTML  |  1720806953 in plain Text format TXT  |  1720806953 in PDF (Portable Document Format) PDF  |  1720806953 in an XML format XML  formats.

NPI Number : 1720806953 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720806953",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SASSOLA",
    "FirstName": "MARCEL",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": "III",
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5018 READ RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOORPARK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93021-8765",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-388-9080",
    "MailingAddressFaxNumber": "866-496-5915",
    "FirstLinePracticeLocationAddress": "2946 DE LA VINA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA BARBARA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93105-3310",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-967-9990",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/27/2024",
    "LastUpdateDate": "10/29/2024",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "RPH40870",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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