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1275858565 NPI number — LORI ANN TAYLOR O.T.R.

NPI Number: 1275858565
Health Care Provider/Practitioner: LORI ANN TAYLOR O.T.R.

Information about “1275858565” NPI (LORI ANN TAYLOR O.T.R.) exists in 1275858565 in HTML format HTML  |  1275858565 in plain Text format TXT  |  1275858565 in PDF (Portable Document Format) PDF  |  1275858565 in an XML format XML  formats.

NPI Number : 1275858565 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275858565",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAYLOR",
    "FirstName": "LORI",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "O.T.R.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHANK",
    "OtherFirstName": "LORI",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4560 SE INTERNATIONAL WAY SUITE #100",
    "SecondLineMailingAddress": "CONSONUS HEALTHCARE",
    "MailingAddressCityName": "MILWAUKIE",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97222",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "971-206-5166",
    "MailingAddressFaxNumber": "971-206-5211",
    "FirstLinePracticeLocationAddress": "4560 SE INTERNATIONAL WAY SUITE #100",
    "SecondLinePracticeLocationAddress": "CONSONUS HEALTHCARE",
    "PracticeLocationAddressCityName": "MILWAUKIE",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97222",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "971-206-5166",
    "PracticeLocationAddressFaxNumber": "971-206-5211",
    "EnumerationDate": "03/30/2010",
    "LastUpdateDate": "01/07/2014",
    "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": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "113545",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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