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1225464332 NPI number — GUY L DOTY JR. LICENSED

NPI Number: 1225464332
Health Care Provider/Practitioner: GUY L DOTY JR. LICENSED

Information about “1225464332” NPI (GUY L DOTY JR. LICENSED) exists in 1225464332 in HTML format HTML  |  1225464332 in plain Text format TXT  |  1225464332 in PDF (Portable Document Format) PDF  |  1225464332 in an XML format XML  formats.

NPI Number : 1225464332 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225464332",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOTY",
    "FirstName": "GUY",
    "MiddleName": "L",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "LICENSED",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "849 HIGHWAY 11",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PETAL",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39465-2037",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-545-2323",
    "MailingAddressFaxNumber": "601-545-3232",
    "FirstLinePracticeLocationAddress": "849 HIGHWAY 11",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PETAL",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39465-2037",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-545-2323",
    "PracticeLocationAddressFaxNumber": "601-545-3232",
    "EnumerationDate": "09/20/2013",
    "LastUpdateDate": "09/20/2013",
    "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": "237700000X",
        "TaxonomyName": "Hearing Instrument Specialist",
        "LicenseNumber": "MS0242",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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