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1609353747 NPI number — MAIANH CHRISTINA PHAM DMD

NPI Number: 1609353747
Health Care Provider/Practitioner: MAIANH CHRISTINA PHAM DMD

Information about “1609353747” NPI (MAIANH CHRISTINA PHAM DMD) exists in 1609353747 in HTML format HTML  |  1609353747 in plain Text format TXT  |  1609353747 in PDF (Portable Document Format) PDF  |  1609353747 in an XML format XML  formats.

NPI Number : 1609353747 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609353747",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PHAM",
    "FirstName": "MAIANH",
    "MiddleName": "CHRISTINA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1205 N 10TH PL APT 2108",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98057-5476",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-207-2323",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "444 RAMSAY WAY STE 109",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KENT",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98032-4536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-237-6903",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/22/2018",
    "LastUpdateDate": "08/24/2018",
    "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": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DN23357",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DE60879436",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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