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1912027509 NPI number — KIEUANH T PHAM R.N.

NPI Number: 1912027509
Health Care Provider/Practitioner: KIEUANH T PHAM R.N.

Information about “1912027509” NPI (KIEUANH T PHAM R.N.) exists in 1912027509 in HTML format HTML  |  1912027509 in plain Text format TXT  |  1912027509 in PDF (Portable Document Format) PDF  |  1912027509 in an XML format XML  formats.

NPI Number : 1912027509 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912027509",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PHAM",
    "FirstName": "KIEUANH",
    "MiddleName": "T",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "R.N.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PHAM",
    "OtherFirstName": "KIEUANH",
    "OtherMiddleName": "T",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "7734 W MCRAE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85308-5917",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-215-4804",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20012 N 35TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85308-2204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-445-4110",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/29/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "163WC1500X",
        "TaxonomyName": "Community Health Registered Nurse",
        "LicenseNumber": "RN129491",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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