NPI Code Detail JSON Logo

1902400633 NPI number — YAN BAI RPH

NPI Number: 1902400633
Health Care Provider/Practitioner: YAN BAI RPH

Information about “1902400633” NPI (YAN BAI RPH) exists in 1902400633 in HTML format HTML  |  1902400633 in plain Text format TXT  |  1902400633 in PDF (Portable Document Format) PDF  |  1902400633 in an XML format XML  formats.

NPI Number : 1902400633 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902400633",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAI",
    "FirstName": "YAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAI",
    "OtherFirstName": "CLAIRE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RPH",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "350 ABBOTTS MILL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JOHNS CREEK",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30097-8425",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-203-6123",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2500 MOUNT VERNON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DUNWOODY",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30338-3055",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-394-5130",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/23/2020",
    "LastUpdateDate": "11/23/2020",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "031498",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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