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1215215140 NPI number — MELISA SKYRM MAC LAC

NPI Number: 1215215140
Health Care Provider/Practitioner: MELISA SKYRM MAC LAC

Information about “1215215140” NPI (MELISA SKYRM MAC LAC) exists in 1215215140 in HTML format HTML  |  1215215140 in plain Text format TXT  |  1215215140 in PDF (Portable Document Format) PDF  |  1215215140 in an XML format XML  formats.

NPI Number : 1215215140 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215215140",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SKYRM",
    "FirstName": "MELISA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MAC LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2117 OLD MARLTON PIKE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHERRY HILL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08003-1302",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-424-2260",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2117 OLD MARLTON PIKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHERRY HILL",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08003-1302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-424-2260",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/26/2011",
    "LastUpdateDate": "07/26/2011",
    "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": "25MZ00077800",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AK000967",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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