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1659440006 NPI number — SHIRLEY M. RANDALL INC

NPI Number: 1659440006
Health Care Provider/Practitioner: SHIRLEY M. RANDALL INC

Information about “1659440006” NPI (SHIRLEY M. RANDALL INC) exists in 1659440006 in HTML format HTML  |  1659440006 in plain Text format TXT  |  1659440006 in PDF (Portable Document Format) PDF  |  1659440006 in an XML format XML  formats.

NPI Number : 1659440006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659440006",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SHIRLEY M. RANDALL INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3105 AMERICAN LEGION RD",
    "SecondLineMailingAddress": "STE E",
    "MailingAddressCityName": "CHESAPEAKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23321-5654",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-483-7706",
    "MailingAddressFaxNumber": "757-483-7726",
    "FirstLinePracticeLocationAddress": "9507 HOSPITAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NASSAWADOX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23413",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-414-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/07/2006",
    "LastUpdateDate": "04/20/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHN",
    "AuthorizedOfficialFirstName": "ANNETTE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICE MANAGER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "757-483-7706",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207L00000X",
        "TaxonomyName": "Anesthesiology Physician",
        "LicenseNumber": "0101034675",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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