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1598010498 NPI number — LEHIGH VALLEY ORIENTAL MEDICINE CENTRE, LLC

NPI Number: 1598010498
Health Care Provider/Practitioner: LEHIGH VALLEY ORIENTAL MEDICINE CENTRE, LLC

Information about “1598010498” NPI (LEHIGH VALLEY ORIENTAL MEDICINE CENTRE, LLC) exists in 1598010498 in HTML format HTML  |  1598010498 in plain Text format TXT  |  1598010498 in PDF (Portable Document Format) PDF  |  1598010498 in an XML format XML  formats.

NPI Number : 1598010498 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598010498",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LEHIGH VALLEY ORIENTAL MEDICINE CENTRE, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "101 BRIDGE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CATASAUQUA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18032-2506",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-264-2755",
    "MailingAddressFaxNumber": "610-264-7292",
    "FirstLinePracticeLocationAddress": "101 BRIDGE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CATASAUQUA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18032-2506",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-264-2755",
    "PracticeLocationAddressFaxNumber": "610-264-7292",
    "EnumerationDate": "07/17/2012",
    "LastUpdateDate": "07/17/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOLONY",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": "EDGAR",
    "AuthorizedOfficialTitle": "PRACTITIONER OF ORIENTAL MEDICINE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DOM",
    "AuthorizedOfficialTelephoneNumber": "610-264-2755",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "OM00040",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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