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1629860655 NPI number — KA YOUA XIONG LDO, ABOC, NCLEC

NPI Number: 1629860655
Health Care Provider/Practitioner: KA YOUA XIONG LDO, ABOC, NCLEC

Information about “1629860655” NPI (KA YOUA XIONG LDO, ABOC, NCLEC) exists in 1629860655 in HTML format HTML  |  1629860655 in plain Text format TXT  |  1629860655 in PDF (Portable Document Format) PDF  |  1629860655 in an XML format XML  formats.

NPI Number : 1629860655 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629860655",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "XIONG",
    "FirstName": "KA YOUA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LDO, ABOC, NCLEC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "XIONG",
    "OtherFirstName": "KAY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "LDO, ABOC, NCLEC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3540 E FRANKLIN BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GASTONIA",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28056-6297",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-866-7351",
    "MailingAddressFaxNumber": "704-866-9385",
    "FirstLinePracticeLocationAddress": "3540 E FRANKLIN BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GASTONIA",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28056-6297",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-866-7351",
    "PracticeLocationAddressFaxNumber": "704-866-9385",
    "EnumerationDate": "05/17/2025",
    "LastUpdateDate": "05/17/2025",
    "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": "156FX1800X",
        "TaxonomyName": "Optician",
        "LicenseNumber": "2310",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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