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1952687931 NPI number — IVY CLINIC FOR ACUPUNCTURE AND ORIENTAL MEDICINE, PLLC

NPI Number: 1952687931
Health Care Provider/Practitioner: IVY CLINIC FOR ACUPUNCTURE AND ORIENTAL MEDICINE, PLLC

Information about “1952687931” NPI (IVY CLINIC FOR ACUPUNCTURE AND ORIENTAL MEDICINE, PLLC) exists in 1952687931 in HTML format HTML  |  1952687931 in plain Text format TXT  |  1952687931 in PDF (Portable Document Format) PDF  |  1952687931 in an XML format XML  formats.

NPI Number : 1952687931 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952687931",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IVY CLINIC FOR ACUPUNCTURE AND ORIENTAL MEDICINE, PLLC",
    "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": "7209 HANSFORD CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22151-3000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "339-223-6723",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 N WASHINGTON ST",
    "SecondLinePracticeLocationAddress": "SUITE 311",
    "PracticeLocationAddressCityName": "FALLS CHURCH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22046-4523",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "339-223-6723",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/22/2011",
    "LastUpdateDate": "10/22/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HONG-REN",
    "AuthorizedOfficialFirstName": "WEI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CLINIC DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LAC",
    "AuthorizedOfficialTelephoneNumber": "339-223-6723",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "0121-000617",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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