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THE MIRANDA LLC NPI 1770920696


NPI Information

NPI: 1770920696
Provider Name: THE MIRANDA, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1940 S MAIN ST
MOULTRIE, GA
ZIP 31768
Phone: (229) 529-1134
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THE MIRANDA, LLC is a customized equipment durable medical equipment medical supplies in Moultrie, GA. THE MIRANDA, LLC NPI is 1770920696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1940 S MAIN ST
MOULTRIE, GA
ZIP 31768-524
Phone: (229) 529-1134

The provider's authorized official is Miranda Robinson Taylor .
The authorized official title is President and has the following contact phone number (229) 529-1134.

The enumeration date for this NPI number is 6/1/2013 and was last updated on 12/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744P3200XSpecialistProsthetics Case ManagementNo
2335E00000XProsthetic/Orthotic SupplierGEORGIANo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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