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1003652298 NPI number — LIANG SHAO DDS

NPI Number: 1003652298
Health Care Provider/Practitioner: LIANG SHAO DDS

Information about “1003652298” NPI (LIANG SHAO DDS) exists in 1003652298 in HTML format HTML  |  1003652298 in plain Text format TXT  |  1003652298 in PDF (Portable Document Format) PDF  |  1003652298 in an XML format XML  formats.

NPI Number : 1003652298 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003652298",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAO",
    "FirstName": "LIANG",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHAO",
    "OtherFirstName": "LUCY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "325 5TH AVE APT 28A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10016-5043",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-863-3635",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "754 S BROADWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HICKSVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11801-5017",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-874-7834",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/08/2024",
    "LastUpdateDate": "07/15/2025",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "064725",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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