{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"FirstLineMailingAddress": "PO BOX 418854",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOSTON",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02241-8854",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-997-0001",
"MailingAddressFaxNumber": "443-997-0011",
"FirstLinePracticeLocationAddress": "4940 EASTERN AVE",
"SecondLinePracticeLocationAddress": "BMO BUILDING, ROOM 01-0154",
"PracticeLocationAddressCityName": "BALTIMORE",
"PracticeLocationAddressStateName": "MD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-550-0961",
"PracticeLocationAddressFaxNumber": "410-550-5566",
"EnumerationDate": "12/29/2006",
"LastUpdateDate": "05/17/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRANCIOLI",
"AuthorizedOfficialFirstName": "CARL",
"AuthorizedOfficialMiddleName": "HENRY",
"AuthorizedOfficialTitle": "VICE PRESIDENT OF FINANCE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "410-955-6552",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "P02057",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0002X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}