{
"Npi": {
"NPI": "1760915722",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MYLIMBS PROSTHETICS & SUPPLIES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "740 HIGHWAY 49 STE Q",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLORA",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39071-9378",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-401-5095",
"MailingAddressFaxNumber": "601-401-5096",
"FirstLinePracticeLocationAddress": "740 HIGHWAY 49 STE Q",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FLORA",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39071-9378",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-401-5095",
"PracticeLocationAddressFaxNumber": "601-401-5096",
"EnumerationDate": "04/06/2017",
"LastUpdateDate": "06/25/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WRIGHT",
"AuthorizedOfficialFirstName": "ROBBIIN",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PROSTHETIST",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "601-401-5095",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": "C16081",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}