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1972788693 NPI number — JOANNE JUNGSUN IM PH.D, LAC.

NPI Number: 1972788693
Health Care Provider/Practitioner: JOANNE JUNGSUN IM PH.D, LAC.

Information about “1972788693” NPI (JOANNE JUNGSUN IM PH.D, LAC.) exists in 1972788693 in HTML format HTML  |  1972788693 in plain Text format TXT  |  1972788693 in PDF (Portable Document Format) PDF  |  1972788693 in an XML format XML  formats.

NPI Number : 1972788693 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972788693",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IM",
    "FirstName": "JOANNE",
    "MiddleName": "JUNGSUN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PH.D, LAC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RO",
    "OtherFirstName": "JUNG",
    "OtherMiddleName": "SUN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LAC.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8300 OLD COURTHOUSE RD",
    "SecondLineMailingAddress": "SUITE 220",
    "MailingAddressCityName": "VIENNA",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22182-3822",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-595-9082",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8300 OLD COURTHOUSE RD",
    "SecondLinePracticeLocationAddress": "SUITE 220",
    "PracticeLocationAddressCityName": "VIENNA",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22182-3822",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-595-9082",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/31/2007",
    "LastUpdateDate": "09/27/2009",
    "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": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC 11413",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "0121000533",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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