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1043667561 NPI number — MARY FRANCES PERSON L.AC.

NPI Number: 1043667561
Health Care Provider/Practitioner: MARY FRANCES PERSON L.AC.

Information about “1043667561” NPI (MARY FRANCES PERSON L.AC.) exists in 1043667561 in HTML format HTML  |  1043667561 in plain Text format TXT  |  1043667561 in PDF (Portable Document Format) PDF  |  1043667561 in an XML format XML  formats.

NPI Number : 1043667561 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043667561",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PERSON",
    "FirstName": "MARY",
    "MiddleName": "FRANCES",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.AC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "434 1/2 NORTH STANLEY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90036-2392",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-481-6839",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "434 1/2 N STANLEY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90036-2392",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-481-6839",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/16/2016",
    "LastUpdateDate": "05/16/2016",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "17078",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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