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1922760586 NPI number — BLAKE STRICKLAND NP

NPI Number: 1922760586
Health Care Provider/Practitioner: BLAKE STRICKLAND NP

Information about “1922760586” NPI (BLAKE STRICKLAND NP) exists in 1922760586 in HTML format HTML  |  1922760586 in plain Text format TXT  |  1922760586 in PDF (Portable Document Format) PDF  |  1922760586 in an XML format XML  formats.

NPI Number : 1922760586 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922760586",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STRICKLAND",
    "FirstName": "BLAKE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PARKES",
    "OtherFirstName": "BLAKE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 421718",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GEORGETOWN",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29442-4203",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-527-7000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4017 HIGHWAY 17 STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MURRELLS INLET",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29576-5032",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-651-6525",
    "PracticeLocationAddressFaxNumber": "843-357-0768",
    "EnumerationDate": "10/12/2021",
    "LastUpdateDate": "10/02/2025",
    "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": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "25428",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367A00000X",
          "TaxonomyName": "Advanced Practice Midwife",
          "LicenseNumber": "25428",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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