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1871373159 NPI number — TESSA ALEXANDRA AMATO PHARMD, RPH

NPI Number: 1871373159
Health Care Provider/Practitioner: TESSA ALEXANDRA AMATO PHARMD, RPH

Information about “1871373159” NPI (TESSA ALEXANDRA AMATO PHARMD, RPH) exists in 1871373159 in HTML format HTML  |  1871373159 in plain Text format TXT  |  1871373159 in PDF (Portable Document Format) PDF  |  1871373159 in an XML format XML  formats.

NPI Number : 1871373159 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871373159",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMATO",
    "FirstName": "TESSA",
    "MiddleName": "ALEXANDRA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD, RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "519 BOSTON POST RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OLD SAYBROOK",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06475-1526",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-388-1045",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "519 BOSTON POST RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLD SAYBROOK",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06475-1526",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-388-1045",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/03/2023",
    "LastUpdateDate": "01/21/2024",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PCT.0016390",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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