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1235380569 NPI number — JENNIFER YUN JOHNSON LIC. AC., MAOM

NPI Number: 1235380569
Health Care Provider/Practitioner: JENNIFER YUN JOHNSON LIC. AC., MAOM

Information about “1235380569” NPI (JENNIFER YUN JOHNSON LIC. AC., MAOM) exists in 1235380569 in HTML format HTML  |  1235380569 in plain Text format TXT  |  1235380569 in PDF (Portable Document Format) PDF  |  1235380569 in an XML format XML  formats.

NPI Number : 1235380569 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235380569",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "JENNIFER",
    "MiddleName": "YUN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LIC. AC., MAOM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NOETZLI",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "YUN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LIC.AC., MAOM",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4200 MINNETONKA BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ST LOUIS PARK",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55416-5191",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-345-1953",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4200 MINNETONKA BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ST LOUIS PARK",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55416-5191",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-345-1953",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/06/2008",
    "LastUpdateDate": "10/06/2008",
    "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": "1312",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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