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1326515099 NPI number — PATRICIA MICHELLE VIRGIL RN

NPI Number: 1326515099
Health Care Provider/Practitioner: PATRICIA MICHELLE VIRGIL RN

Information about “1326515099” NPI (PATRICIA MICHELLE VIRGIL RN) exists in 1326515099 in HTML format HTML  |  1326515099 in plain Text format TXT  |  1326515099 in PDF (Portable Document Format) PDF  |  1326515099 in an XML format XML  formats.

NPI Number : 1326515099 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326515099",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VIRGIL",
    "FirstName": "PATRICIA",
    "MiddleName": "MICHELLE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VIRGIL-BRYANT",
    "OtherFirstName": "PATRICIA",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "NONE",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8881 NW 5TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEMBROKE PINES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33024-6513",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-740-1356",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1201 NW 16TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33125-1624",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-575-7000",
    "PracticeLocationAddressFaxNumber": "305-575-3437",
    "EnumerationDate": "10/31/2018",
    "LastUpdateDate": "10/31/2018",
    "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": "163WM0705X",
        "TaxonomyName": "Medical-Surgical Registered Nurse",
        "LicenseNumber": "9211535",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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