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1700931169 NPI number — SARAH L GARDNER LAC.

NPI Number: 1700931169
Health Care Provider/Practitioner: SARAH L GARDNER LAC.

Information about “1700931169” NPI (SARAH L GARDNER LAC.) exists in 1700931169 in HTML format HTML  |  1700931169 in plain Text format TXT  |  1700931169 in PDF (Portable Document Format) PDF  |  1700931169 in an XML format XML  formats.

NPI Number : 1700931169 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700931169",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARDNER",
    "FirstName": "SARAH",
    "MiddleName": "L",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LAC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14720 107TH WAY SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VASHON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98070-3827",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-940-8802",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "17917 VASHON HWY SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VASHON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98070-5204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-940-8802",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/24/2007",
    "LastUpdateDate": "07/09/2007",
    "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": "AC00000237",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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