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1750928834 NPI number — SARAH PRISCILLA TABBERRAH DESPOJO PT

NPI Number: 1750928834
Health Care Provider/Practitioner: SARAH PRISCILLA TABBERRAH DESPOJO PT

Information about “1750928834” NPI (SARAH PRISCILLA TABBERRAH DESPOJO PT) exists in 1750928834 in HTML format HTML  |  1750928834 in plain Text format TXT  |  1750928834 in PDF (Portable Document Format) PDF  |  1750928834 in an XML format XML  formats.

NPI Number : 1750928834 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750928834",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DESPOJO",
    "FirstName": "SARAH PRISCILLA",
    "MiddleName": "TABBERRAH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TABBERRAH",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "PRISCILLA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11628 NW 17TH PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32606-1445",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-275-8688",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3605 NW 83RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32606-5713",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-327-3824",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/07/2019",
    "LastUpdateDate": "12/11/2019",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT23899",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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