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1356528210 NPI number — RAULERSON GYN LLC

NPI Number: 1356528210
Health Care Provider/Practitioner: RAULERSON GYN LLC

Information about “1356528210” NPI (RAULERSON GYN LLC) exists in 1356528210 in HTML format HTML  |  1356528210 in plain Text format TXT  |  1356528210 in PDF (Portable Document Format) PDF  |  1356528210 in an XML format XML  formats.

NPI Number : 1356528210 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356528210",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RAULERSON GYN LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "THREE MARYLAND",
    "SecondLineMailingAddress": "SUITE 250",
    "MailingAddressCityName": "BRENTWOOD",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-372-5024",
    "MailingAddressFaxNumber": "866-899-5924",
    "FirstLinePracticeLocationAddress": "1713 HIGHWAY 441 NORTH",
    "SecondLinePracticeLocationAddress": "SUITE F",
    "PracticeLocationAddressCityName": "OKEECHOBEE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34972",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "863-763-8000",
    "PracticeLocationAddressFaxNumber": "863-763-8212",
    "EnumerationDate": "01/23/2008",
    "LastUpdateDate": "05/06/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRADFIELD",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "AUTHORIZE OFFICIAL",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "863-763-8000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207VX0000X",
        "TaxonomyName": "Obstetrics Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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