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1366013260 NPI number — LATANDREA RUFFINS

NPI Number: 1366013260
Health Care Provider/Practitioner: LATANDREA RUFFINS

Information about “1366013260” NPI (LATANDREA RUFFINS) exists in 1366013260 in HTML format HTML  |  1366013260 in plain Text format TXT  |  1366013260 in PDF (Portable Document Format) PDF  |  1366013260 in an XML format XML  formats.

NPI Number : 1366013260 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366013260",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUFFINS",
    "FirstName": "LATANDREA",
    "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": "7505 PINES ROAD",
    "SecondLineMailingAddress": "SUITE 1200-E",
    "MailingAddressCityName": "SHREVEPORT",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71129-3935",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-517-7428",
    "MailingAddressFaxNumber": "318-568-8019",
    "FirstLinePracticeLocationAddress": "7505 PINES ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 1200-E",
    "PracticeLocationAddressCityName": "SHREVEPORT",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71129-3935",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-517-7428",
    "PracticeLocationAddressFaxNumber": "318-568-8019",
    "EnumerationDate": "07/02/2021",
    "LastUpdateDate": "07/22/2024",
    "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": "246RP1900X",
          "TaxonomyName": "Phlebotomy Technician",
          "LicenseNumber": "339805",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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