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1144695784 NPI number — GABRADOR MILLIGAN B.A.

NPI Number: 1144695784
Health Care Provider/Practitioner: GABRADOR MILLIGAN B.A.

Information about “1144695784” NPI (GABRADOR MILLIGAN B.A.) exists in 1144695784 in HTML format HTML  |  1144695784 in plain Text format TXT  |  1144695784 in PDF (Portable Document Format) PDF  |  1144695784 in an XML format XML  formats.

NPI Number : 1144695784 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144695784",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLIGAN",
    "FirstName": "GABRADOR",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "B.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6 MATHIS ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROME",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30165",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-264-7904",
    "MailingAddressFaxNumber": "706-235-1518",
    "FirstLinePracticeLocationAddress": "6 MATHIS ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROME",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30165",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-264-7904",
    "PracticeLocationAddressFaxNumber": "706-235-1518",
    "EnumerationDate": "12/08/2015",
    "LastUpdateDate": "12/08/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "NONE",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "NONE",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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