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1669959912 NPI number — SHARON ELAINE MILLER M.AC.

NPI Number: 1669959912
Health Care Provider/Practitioner: SHARON ELAINE MILLER M.AC.

Information about “1669959912” NPI (SHARON ELAINE MILLER M.AC.) exists in 1669959912 in HTML format HTML  |  1669959912 in plain Text format TXT  |  1669959912 in PDF (Portable Document Format) PDF  |  1669959912 in an XML format XML  formats.

NPI Number : 1669959912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669959912",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLER",
    "FirstName": "SHARON",
    "MiddleName": "ELAINE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.AC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CROOK",
    "OtherFirstName": "SHARON",
    "OtherMiddleName": "ELAINE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "298 PEBBLE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INWOOD",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25428-3087",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-283-7882",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "115 AIKENS CTR STE 12",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARTINSBURG",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25404-6210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-283-7882",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/19/2018",
    "LastUpdateDate": "07/19/2018",
    "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": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "96239",
        "LicenseNumberStateCode": "WV",
        "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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