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1942463971 NPI number — DORIS H SHEN

NPI Number: 1942463971
Health Care Provider/Practitioner: DORIS H SHEN

Information about “1942463971” NPI (DORIS H SHEN) exists in 1942463971 in HTML format HTML  |  1942463971 in plain Text format TXT  |  1942463971 in PDF (Portable Document Format) PDF  |  1942463971 in an XML format XML  formats.

NPI Number : 1942463971 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942463971",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHEN",
    "FirstName": "DORIS",
    "MiddleName": "H",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHEN",
    "OtherFirstName": "DORIS",
    "OtherMiddleName": "H.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PT, DPT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3020 CHILDRENS WAY",
    "SecondLineMailingAddress": "MAIL CODE 4158",
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92123-4223",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-966-5330",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3020 CHILDRENS WAY",
    "SecondLinePracticeLocationAddress": "MAIL CODE 4158",
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92123-4223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-966-5330",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/09/2008",
    "LastUpdateDate": "09/23/2014",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "36099",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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