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1245470632 NPI number — MAHA ATI LAC; NMD; RNP

NPI Number: 1245470632
Health Care Provider/Practitioner: MAHA ATI LAC; NMD; RNP

Information about “1245470632” NPI (MAHA ATI LAC; NMD; RNP) exists in 1245470632 in HTML format HTML  |  1245470632 in plain Text format TXT  |  1245470632 in PDF (Portable Document Format) PDF  |  1245470632 in an XML format XML  formats.

NPI Number : 1245470632 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245470632",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ATI",
    "FirstName": "MAHA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAC; NMD; RNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 23639",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA BARBARA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93121-3639",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-682-0487",
    "MailingAddressFaxNumber": "805-682-0447",
    "FirstLinePracticeLocationAddress": "1727 STATE ST STE 26",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA BARBARA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93101-2521",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-682-0487",
    "PracticeLocationAddressFaxNumber": "805-682-0447",
    "EnumerationDate": "02/25/2009",
    "LastUpdateDate": "03/04/2009",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "AC1540",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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