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1952064800 NPI number — 5 ELEMENT ACUPUNCTURE CENTER

NPI Number: 1952064800
Health Care Provider/Practitioner: 5 ELEMENT ACUPUNCTURE CENTER

Information about “1952064800” NPI (5 ELEMENT ACUPUNCTURE CENTER) exists in 1952064800 in HTML format HTML  |  1952064800 in plain Text format TXT  |  1952064800 in PDF (Portable Document Format) PDF  |  1952064800 in an XML format XML  formats.

NPI Number : 1952064800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952064800",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "5 ELEMENT ACUPUNCTURE CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7931 E. BELLEVISTA LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRESCOTT VALLEY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86315",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-306-2926",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3681 N. ROBERT ROAD",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "PRESCOTT VALLEY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86314",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-514-9965",
    "PracticeLocationAddressFaxNumber": "928-237-2215",
    "EnumerationDate": "10/18/2021",
    "LastUpdateDate": "10/18/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MITTS",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "PRACTITIONER OF ACUPUNCTURE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "L. AC.",
    "AuthorizedOfficialTelephoneNumber": "928-514-9965",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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