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1962781633 NPI number — ROBENSON APIBO-TANGO PHARM.D

NPI Number: 1962781633
Health Care Provider/Practitioner: ROBENSON APIBO-TANGO PHARM.D

Information about “1962781633” NPI (ROBENSON APIBO-TANGO PHARM.D) exists in 1962781633 in HTML format HTML  |  1962781633 in plain Text format TXT  |  1962781633 in PDF (Portable Document Format) PDF  |  1962781633 in an XML format XML  formats.

NPI Number : 1962781633 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962781633",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "APIBO-TANGO",
    "FirstName": "ROBENSON",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARM.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 777833",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HENDERSON",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89077-7833",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-636-2054",
    "MailingAddressFaxNumber": "702-636-2028",
    "FirstLinePracticeLocationAddress": "4090 W CRAIG RD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89032-2758",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-636-2054",
    "PracticeLocationAddressFaxNumber": "702-636-2028",
    "EnumerationDate": "08/11/2011",
    "LastUpdateDate": "03/29/2023",
    "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": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "17611",
          "LicenseNumberStateCode": "NV",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "S017675",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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