Rabab Al-Amin

Key facts

NPI

1134440282

Entity type

Individual (NPI type 1)

Primary specialty

Acupuncturist 171100000X

License

U01238 (MD)

Practice address

215 Wickersham Way
Cockeysville, MD 21030

Phone

(410) 299-0752

Fax

(410) 666-0337

NPI assigned

Jun 11, 2010

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2010.

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1134440282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WICKERSHAM WAY",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "21030",
            "telephone_number": "410-299-0752",
            "fax_number": "410-666-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WICKERSHAM WAY",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "21030",
            "telephone_number": "410-299-0752",
            "fax_number": "410-666-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-AMIN",
        "first_name": "RABAB",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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