{
"Npi": {
"NPI": "1578851176",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PHUI",
"FirstName": "JENNIE",
"MiddleName": "SOI",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RDHAP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PHUI",
"OtherFirstName": "JENNIE",
"OtherMiddleName": "HANG-SOI",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "9877 CHAPMAN AVE STE. D #413",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GARDEN",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92841-3233",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-638-8709",
"MailingAddressFaxNumber": "714-638-8917",
"FirstLinePracticeLocationAddress": "12562 DALE ST UNIT 30",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GARDEN GROVE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92841-4565",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-583-8165",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/16/2011",
"LastUpdateDate": "09/30/2011",
"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": "124Q00000X",
"TaxonomyName": "Dental Hygienist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}