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1649537408 NPI number — DOMINIE TRANG LY

NPI Number: 1649537408
Health Care Provider/Practitioner: DOMINIE TRANG LY

Information about “1649537408” NPI (DOMINIE TRANG LY) exists in 1649537408 in HTML format HTML  |  1649537408 in plain Text format TXT  |  1649537408 in PDF (Portable Document Format) PDF  |  1649537408 in an XML format XML  formats.

NPI Number : 1649537408 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649537408",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LY",
    "FirstName": "DOMINIE",
    "MiddleName": "TRANG",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LY",
    "OtherFirstName": "TRANG",
    "OtherMiddleName": "QUYNH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2124 W HARRIET LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANAHEIM",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92804-6040",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-600-2719",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11201 BENTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOMA LINDA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92357-1000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-583-6185",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/18/2012",
    "LastUpdateDate": "04/18/2012",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "ASW24266",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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