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1316251598 NPI number — KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

NPI Number: 1316251598
Health Care Provider/Practitioner: KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Information about “1316251598” NPI (KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.) exists in 1316251598 in HTML format HTML  |  1316251598 in plain Text format TXT  |  1316251598 in PDF (Portable Document Format) PDF  |  1316251598 in an XML format XML  formats.

NPI Number : 1316251598 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316251598",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6875 DOUGLAS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOUGLASVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30135-7133",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-838-2226",
    "MailingAddressFaxNumber": "678-838-2231",
    "FirstLinePracticeLocationAddress": "6875 DOUGLAS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOUGLASVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30135-7133",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-838-2226",
    "PracticeLocationAddressFaxNumber": "678-838-2231",
    "EnumerationDate": "07/30/2010",
    "LastUpdateDate": "08/04/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SANDERS",
    "AuthorizedOfficialFirstName": "DIANE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHARMACY COMPLIANCE MANAGER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "770-712-5654",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336M0003X",
          "TaxonomyName": "Managed Care Organization Pharmacy",
          "LicenseNumber": "PHRE009688",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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