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1174931471 NPI number — SHUK MEI CHUNG

NPI Number: 1174931471
Health Care Provider/Practitioner: SHUK MEI CHUNG

Information about “1174931471” NPI (SHUK MEI CHUNG) exists in 1174931471 in HTML format HTML  |  1174931471 in plain Text format TXT  |  1174931471 in PDF (Portable Document Format) PDF  |  1174931471 in an XML format XML  formats.

NPI Number : 1174931471 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174931471",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHUNG",
    "FirstName": "SHUK MEI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3980 BLACKBERRY LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GEORGETOWN",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-943-2872",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2122 W KETTLEMAN LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LODI",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95242",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-224-8512",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2014",
    "LastUpdateDate": "07/09/2020",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "016227",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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