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1477282721 NPI number — ROBERT DALE ORR RN

NPI Number: 1477282721
Health Care Provider/Practitioner: ROBERT DALE ORR RN

Information about “1477282721” NPI (ROBERT DALE ORR RN) exists in 1477282721 in HTML format HTML  |  1477282721 in plain Text format TXT  |  1477282721 in PDF (Portable Document Format) PDF  |  1477282721 in an XML format XML  formats.

NPI Number : 1477282721 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477282721",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ORR",
    "FirstName": "ROBERT",
    "MiddleName": "DALE",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12225 COUNTY ROAD 4088",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCURRY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75158-2939",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-538-5683",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2418 W MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GUN BARREL CITY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75156-3638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-713-2000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2022",
    "LastUpdateDate": "11/10/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "923897",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "1086303",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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