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1114391505 NPI number — LUCIDA TCM

NPI Number: 1114391505
Health Care Provider/Practitioner: LUCIDA TCM

Information about “1114391505” NPI (LUCIDA TCM) exists in 1114391505 in HTML format HTML  |  1114391505 in plain Text format TXT  |  1114391505 in PDF (Portable Document Format) PDF  |  1114391505 in an XML format XML  formats.

NPI Number : 1114391505 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114391505",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LUCIDA TCM",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "35 PRAIRIE LANDING CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH POTOMAC",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20878-4375",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-489-1818",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "35 PRAIRIE LANDING CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH POTOMAC",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20878-4375",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-489-1818",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/23/2015",
    "LastUpdateDate": "11/23/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WU",
    "AuthorizedOfficialFirstName": "ZHENG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "240-489-1818",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "U00526",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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