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1770813784 NPI number — NEAL CEARAN BRADY L.AC.

NPI Number: 1770813784
Health Care Provider/Practitioner: NEAL CEARAN BRADY L.AC.

Information about “1770813784” NPI (NEAL CEARAN BRADY L.AC.) exists in 1770813784 in HTML format HTML  |  1770813784 in plain Text format TXT  |  1770813784 in PDF (Portable Document Format) PDF  |  1770813784 in an XML format XML  formats.

NPI Number : 1770813784 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770813784",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRADY",
    "FirstName": "NEAL",
    "MiddleName": "CEARAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.AC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1922 BONANZA CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER PARK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32792-2026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-993-0994",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "300 WILSHIRE BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 237",
    "PracticeLocationAddressCityName": "CASSELBERRY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32707-5378",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-993-0994",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/14/2010",
    "LastUpdateDate": "08/09/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AP 2300",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC 155575",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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