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1679264741 NPI number — MS. EMILY ILER

NPI Number: 1679264741
Health Care Provider/Practitioner: MS. EMILY ILER

Information about “1679264741” NPI (MS. EMILY ILER) exists in 1679264741 in HTML format HTML  |  1679264741 in plain Text format TXT  |  1679264741 in PDF (Portable Document Format) PDF  |  1679264741 in an XML format XML  formats.

NPI Number : 1679264741 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679264741",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ILER",
    "FirstName": "EMILY",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 947407",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30394-7407",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-917-2600",
    "MailingAddressFaxNumber": "941-917-7884",
    "FirstLinePracticeLocationAddress": "1901 FLOYD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34239-2932",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-786-6058",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/18/2023",
    "LastUpdateDate": "07/18/2023",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA9117638",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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