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1043740582 NPI number — MIRIAM BAILA HAYMAN L.AC.

NPI Number: 1043740582
Health Care Provider/Practitioner: MIRIAM BAILA HAYMAN L.AC.

Information about “1043740582” NPI (MIRIAM BAILA HAYMAN L.AC.) exists in 1043740582 in HTML format HTML  |  1043740582 in plain Text format TXT  |  1043740582 in PDF (Portable Document Format) PDF  |  1043740582 in an XML format XML  formats.

NPI Number : 1043740582 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043740582",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAYMAN",
    "FirstName": "MIRIAM",
    "MiddleName": "BAILA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.AC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2008 W. SUNRISE RIM RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOISE",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83705",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-310-8887",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "963 SOUTH ORCHARD STREET",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "BOISE",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83705",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-310-8887",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/18/2017",
    "LastUpdateDate": "05/24/2022",
    "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": "ACU-433",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "17525",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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