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1912185786 NPI number — KATHERINE HYUNJOO PARK RPH

NPI Number: 1912185786
Health Care Provider/Practitioner: KATHERINE HYUNJOO PARK RPH

Information about “1912185786” NPI (KATHERINE HYUNJOO PARK RPH) exists in 1912185786 in HTML format HTML  |  1912185786 in plain Text format TXT  |  1912185786 in PDF (Portable Document Format) PDF  |  1912185786 in an XML format XML  formats.

NPI Number : 1912185786 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912185786",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PARK",
    "FirstName": "KATHERINE",
    "MiddleName": "HYUNJOO",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEE",
    "OtherFirstName": "HYUN",
    "OtherMiddleName": "JOO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "101 POLIFLY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HACKENSACK",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07601-3209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-525-1149",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "310 E 23RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10010-4702",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-505-1555",
    "PracticeLocationAddressFaxNumber": "212-473-2774",
    "EnumerationDate": "02/04/2008",
    "LastUpdateDate": "02/26/2010",
    "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": "28RI03200100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "045299",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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