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1932325628 NPI number — ROSEMARY STRUBE BS, PAC, MS

NPI Number: 1932325628
Health Care Provider/Practitioner: ROSEMARY STRUBE BS, PAC, MS

Information about “1932325628” NPI (ROSEMARY STRUBE BS, PAC, MS) exists in 1932325628 in HTML format HTML  |  1932325628 in plain Text format TXT  |  1932325628 in PDF (Portable Document Format) PDF  |  1932325628 in an XML format XML  formats.

NPI Number : 1932325628 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932325628",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STRUBE",
    "FirstName": "ROSEMARY",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "BS, PAC, MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14553 HESBY ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHERMAN OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91403-1712",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-386-9238",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "USC STUDENT HEALTH SERVICES",
    "SecondLinePracticeLocationAddress": "849 WEST 34TH STREET",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90089-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-740-1799",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/18/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "PA 11906",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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