{
"Npi": {
"NPI": "1205160892",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEUCADIA FAMILY ACUPUNCTURE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1114 NORTH COAST HIGHWAY,",
"SecondLineMailingAddress": "SUITE 1A",
"MailingAddressCityName": "ENCINITAS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92024",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-943-7667",
"MailingAddressFaxNumber": "760-943-7667",
"FirstLinePracticeLocationAddress": "1114 NORTH COAST HIGHWAY,",
"SecondLinePracticeLocationAddress": "SUITE 1A",
"PracticeLocationAddressCityName": "ENCINITAS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92024",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-943-7667",
"PracticeLocationAddressFaxNumber": "760-943-7667",
"EnumerationDate": "09/29/2009",
"LastUpdateDate": "09/29/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEWART",
"AuthorizedOfficialFirstName": "REBECCA-ANNE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/ LICENSED ACUPUNCTURIST",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "L.AC.",
"AuthorizedOfficialTelephoneNumber": "760-943-7667",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "AC 12901",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}