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1609189232 NPI number — HYON SOO KANG B.S.

NPI Number: 1609189232
Health Care Provider/Practitioner: HYON SOO KANG B.S.

Information about “1609189232” NPI (HYON SOO KANG B.S.) exists in 1609189232 in HTML format HTML  |  1609189232 in plain Text format TXT  |  1609189232 in PDF (Portable Document Format) PDF  |  1609189232 in an XML format XML  formats.

NPI Number : 1609189232 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609189232",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KANG",
    "FirstName": "HYON",
    "MiddleName": "SOO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "B.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "158 MOOREHEAD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONSHOHOCKEN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19428-2928",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-859-3558",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "320 E LINCOLN HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COATESVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19320-3410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-384-7022",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/25/2010",
    "LastUpdateDate": "06/10/2014",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "RP044267L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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