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1932020591 NPI number — ANNE MARIE FONTANO

NPI Number: 1932020591
Health Care Provider/Practitioner: ANNE MARIE FONTANO

Information about “1932020591” NPI (ANNE MARIE FONTANO) exists in 1932020591 in HTML format HTML  |  1932020591 in plain Text format TXT  |  1932020591 in PDF (Portable Document Format) PDF  |  1932020591 in an XML format XML  formats.

NPI Number : 1932020591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932020591",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FONTANO",
    "FirstName": "ANNE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FERRON",
    "OtherFirstName": "ANNE",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "21022 LOS ALISOS BLVD APT 821",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RANCHO SANTA MARGARITA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92688-3252",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-965-2985",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1031 AVENIDA PICO STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN CLEMENTE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92673-6356",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-388-8788",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/21/2026",
    "LastUpdateDate": "07/21/2026",
    "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": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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