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1861950446 NPI number — MATTHEW LAWRENCE STAMPE LAC

NPI Number: 1861950446
Health Care Provider/Practitioner: MATTHEW LAWRENCE STAMPE LAC

Information about “1861950446” NPI (MATTHEW LAWRENCE STAMPE LAC) exists in 1861950446 in HTML format HTML  |  1861950446 in plain Text format TXT  |  1861950446 in PDF (Portable Document Format) PDF  |  1861950446 in an XML format XML  formats.

NPI Number : 1861950446 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861950446",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STAMPE",
    "FirstName": "MATTHEW",
    "MiddleName": "LAWRENCE",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7008 CATLETT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22151-3901",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-776-0630",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3343 DUKE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALEXANDRIA",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22314-5219",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-259-9193",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/04/2019",
    "LastUpdateDate": "10/20/2020",
    "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": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": "0019006078",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "0121000941",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC500315",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "U02615",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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