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1750329306 NPI number — TLC FOR WOMEN

NPI Number: 1750329306
Health Care Provider/Practitioner: TLC FOR WOMEN

Information about “1750329306” NPI (TLC FOR WOMEN) exists in 1750329306 in HTML format HTML  |  1750329306 in plain Text format TXT  |  1750329306 in PDF (Portable Document Format) PDF  |  1750329306 in an XML format XML  formats.

NPI Number : 1750329306 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750329306",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TLC FOR WOMEN",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2069 TERON TRCE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DACULA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30019-1665",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-995-9100",
    "MailingAddressFaxNumber": "770-822-9444",
    "FirstLinePracticeLocationAddress": "555 OLD NORCROSS RD",
    "SecondLinePracticeLocationAddress": "SUITE 250",
    "PracticeLocationAddressCityName": "LAWRENCEVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30045-8716",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-995-9100",
    "PracticeLocationAddressFaxNumber": "770-822-9444",
    "EnumerationDate": "06/04/2006",
    "LastUpdateDate": "09/29/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOULTON",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": "RICHARD",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "II",
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "770-995-9100",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "043436",
        "LicenseNumberStateCode": "GA",
        "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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