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1710756960 NPI number — TAYLOR J WALBURG RDN, LD

NPI Number: 1710756960
Health Care Provider/Practitioner: TAYLOR J WALBURG RDN, LD

Information about “1710756960” NPI (TAYLOR J WALBURG RDN, LD) exists in 1710756960 in HTML format HTML  |  1710756960 in plain Text format TXT  |  1710756960 in PDF (Portable Document Format) PDF  |  1710756960 in an XML format XML  formats.

NPI Number : 1710756960 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710756960",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALBURG",
    "FirstName": "TAYLOR",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RDN, LD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 5074",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIOUX FALLS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57117-5074",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "507-389-1441",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3401 W 49TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SIOUX FALLS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57106-2322",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-328-1850",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/29/2023",
    "LastUpdateDate": "07/07/2026",
    "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": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "4961",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "1584",
          "LicenseNumberStateCode": "ND",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "136337",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "0972",
          "LicenseNumberStateCode": "SD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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