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1740141134 NPI number — JOSEPH CALVIN ROQUE GASPAR

NPI Number: 1740141134
Health Care Provider/Practitioner: JOSEPH CALVIN ROQUE GASPAR

Information about “1740141134” NPI (JOSEPH CALVIN ROQUE GASPAR) exists in 1740141134 in HTML format HTML  |  1740141134 in plain Text format TXT  |  1740141134 in PDF (Portable Document Format) PDF  |  1740141134 in an XML format XML  formats.

NPI Number : 1740141134 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740141134",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GASPAR",
    "FirstName": "JOSEPH CALVIN",
    "MiddleName": "ROQUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "502 E 1100 N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESTERTON",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46304-9697",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "219-926-5850",
    "MailingAddressFaxNumber": "219-250-2072",
    "FirstLinePracticeLocationAddress": "60 W 94TH PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CROWN POINT",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46307-1710",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "219-926-5850",
    "PracticeLocationAddressFaxNumber": "219-250-2072",
    "EnumerationDate": "11/24/2025",
    "LastUpdateDate": "11/25/2025",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "05016206A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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