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1619292638 NPI number — EASTERN LIGHT ORIENTAL MEDICINE, INC.

NPI Number: 1619292638
Health Care Provider/Practitioner: EASTERN LIGHT ORIENTAL MEDICINE, INC.

Information about “1619292638” NPI (EASTERN LIGHT ORIENTAL MEDICINE, INC.) exists in 1619292638 in HTML format HTML  |  1619292638 in plain Text format TXT  |  1619292638 in PDF (Portable Document Format) PDF  |  1619292638 in an XML format XML  formats.

NPI Number : 1619292638 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619292638",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EASTERN LIGHT ORIENTAL MEDICINE, INC.",
    "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": "404 6TH AVE NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLEN BURNIE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21060-6828",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-850-2733",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "404 6TH AVE NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLEN BURNIE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21060-6828",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-850-2733",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2010",
    "LastUpdateDate": "04/01/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARRU",
    "AuthorizedOfficialFirstName": "HENRY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "L.AC.",
    "AuthorizedOfficialTelephoneNumber": "443-850-2733",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "U01462",
        "LicenseNumberStateCode": "MD",
        "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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