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1588121578 NPI number — MS. MAI THI TRAN

NPI Number: 1588121578
Health Care Provider/Practitioner: MS. MAI THI TRAN

Information about “1588121578” NPI (MS. MAI THI TRAN) exists in 1588121578 in HTML format HTML  |  1588121578 in plain Text format TXT  |  1588121578 in PDF (Portable Document Format) PDF  |  1588121578 in an XML format XML  formats.

NPI Number : 1588121578 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588121578",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRAN",
    "FirstName": "MAI",
    "MiddleName": "THI",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRAN",
    "OtherFirstName": "MAI",
    "OtherMiddleName": "T",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1404 44TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GULFPORT",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39501-2554",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "228-575-2870",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1404 44TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GULFPORT",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39501-2554",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "228-575-2780",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/26/2019",
    "LastUpdateDate": "10/01/2019",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "903187",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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