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1336390152 NPI number — BRYSON BRAASCH RPH,L ACU.

NPI Number: 1336390152
Health Care Provider/Practitioner: BRYSON BRAASCH RPH,L ACU.

Information about “1336390152” NPI (BRYSON BRAASCH RPH,L ACU.) exists in 1336390152 in HTML format HTML  |  1336390152 in plain Text format TXT  |  1336390152 in PDF (Portable Document Format) PDF  |  1336390152 in an XML format XML  formats.

NPI Number : 1336390152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336390152",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRAASCH",
    "FirstName": "BRYSON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH,L ACU.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6821 WOODCREST DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WAYNE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46815-5570",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "260-402-7643",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6821 WOODCREST DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WAYNE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46815-5570",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "260-402-7643",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/10/2008",
    "LastUpdateDate": "10/10/2008",
    "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": "84000104A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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