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1477419646 NPI number — MRS. MIRANDI TAYLOR

NPI Number: 1477419646
Health Care Provider/Practitioner: MRS. MIRANDI TAYLOR

Information about “1477419646” NPI (MRS. MIRANDI TAYLOR) exists in 1477419646 in HTML format HTML  |  1477419646 in plain Text format TXT  |  1477419646 in PDF (Portable Document Format) PDF  |  1477419646 in an XML format XML  formats.

NPI Number : 1477419646 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477419646",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAYLOR",
    "FirstName": "MIRANDI",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10 CYPRESS HILL CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAZLEHURST",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31539-8204",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1101 OCILLA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOUGLAS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31533-2262",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-384-1900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/31/2025",
    "LastUpdateDate": "12/31/2025",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "NP289537",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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