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1023389426 NPI number — HUONG N LY RPH

NPI Number: 1023389426
Health Care Provider/Practitioner: HUONG N LY RPH

Information about “1023389426” NPI (HUONG N LY RPH) exists in 1023389426 in HTML format HTML  |  1023389426 in plain Text format TXT  |  1023389426 in PDF (Portable Document Format) PDF  |  1023389426 in an XML format XML  formats.

NPI Number : 1023389426 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023389426",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LY",
    "FirstName": "HUONG",
    "MiddleName": "N",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LY",
    "OtherFirstName": "COURTNEY",
    "OtherMiddleName": "N",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1810 FREEDOM BLVD.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WATSONVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95076",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "831-768-0183",
    "MailingAddressFaxNumber": "831-768-8749",
    "FirstLinePracticeLocationAddress": "1810 FREEDOM BLVD.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WATSONVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95076",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "831-768-0183",
    "PracticeLocationAddressFaxNumber": "831-768-8749",
    "EnumerationDate": "01/18/2012",
    "LastUpdateDate": "01/18/2012",
    "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": "62932",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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