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1447588785 NPI number — LORUNDA BROWN OTR/L

NPI Number: 1447588785
Health Care Provider/Practitioner: LORUNDA BROWN OTR/L

Information about “1447588785” NPI (LORUNDA BROWN OTR/L) exists in 1447588785 in HTML format HTML  |  1447588785 in plain Text format TXT  |  1447588785 in PDF (Portable Document Format) PDF  |  1447588785 in an XML format XML  formats.

NPI Number : 1447588785 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447588785",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROWN",
    "FirstName": "LORUNDA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5138 KENSINGTON CREEK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHAVEN",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "38672-6766",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-387-8850",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "627 MIDDLETON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINONA",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "38967",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "662-283-1260",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/25/2009",
    "LastUpdateDate": "09/08/2022",
    "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": "3777",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "OT005018",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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