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1578269627 NPI number — BONNIE TAYLOR PRAUGHT FNP

NPI Number: 1578269627
Health Care Provider/Practitioner: BONNIE TAYLOR PRAUGHT FNP

Information about “1578269627” NPI (BONNIE TAYLOR PRAUGHT FNP) exists in 1578269627 in HTML format HTML  |  1578269627 in plain Text format TXT  |  1578269627 in PDF (Portable Document Format) PDF  |  1578269627 in an XML format XML  formats.

NPI Number : 1578269627 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578269627",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PRAUGHT",
    "FirstName": "BONNIE",
    "MiddleName": "TAYLOR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "395 TROON WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HALF MOON BAY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94019-2601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-844-0725",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "66 BOVET RD STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN MATEO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94402-3126",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-288-0826",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/31/2023",
    "LastUpdateDate": "01/31/2023",
    "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": "222020",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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