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1598817926 NPI number — CHRISTINA WANG O.D.

NPI Number: 1598817926
Health Care Provider/Practitioner: CHRISTINA WANG O.D.

Information about “1598817926” NPI (CHRISTINA WANG O.D.) exists in 1598817926 in HTML format HTML  |  1598817926 in plain Text format TXT  |  1598817926 in PDF (Portable Document Format) PDF  |  1598817926 in an XML format XML  formats.

NPI Number : 1598817926 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598817926",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WANG",
    "FirstName": "CHRISTINA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TAGUCHI",
    "OtherFirstName": "CHRISTINA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "O.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3217 153RD PL SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILL CREEK",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98012-7834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-870-5510",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15407 MAIN ST",
    "SecondLinePracticeLocationAddress": "E103",
    "PracticeLocationAddressCityName": "MILL CREEK",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98012-7375",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-357-8234",
    "PracticeLocationAddressFaxNumber": "425-357-1333",
    "EnumerationDate": "01/17/2007",
    "LastUpdateDate": "07/25/2013",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "3707",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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