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1235500224 NPI number — BENJAMIN K CHAN

NPI Number: 1235500224
Health Care Provider/Practitioner: BENJAMIN K CHAN

Information about “1235500224” NPI (BENJAMIN K CHAN) exists in 1235500224 in HTML format HTML  |  1235500224 in plain Text format TXT  |  1235500224 in PDF (Portable Document Format) PDF  |  1235500224 in an XML format XML  formats.

NPI Number : 1235500224 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235500224",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHAN",
    "FirstName": "BENJAMIN",
    "MiddleName": "K",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHAN",
    "OtherFirstName": "KWOK",
    "OtherMiddleName": "C",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "30914 133RD AVE SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUBURN",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98092-3248",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-880-4405",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "202 N DIVISION ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUBURN",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98001-4939",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-545-2405",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/15/2015",
    "LastUpdateDate": "10/15/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PH59971",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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