{
"Npi": {
"NPI": "1013281278",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "LAWRENCE MADIEFSKY,DPM,PA",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9750 NW 33RD STREET",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "CORAL SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33065-0000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-341-8513",
"MailingAddressFaxNumber": "954-341-8514",
"FirstLinePracticeLocationAddress": "8110 ROYAL PALM BLVD",
"SecondLinePracticeLocationAddress": "SUITE 110",
"PracticeLocationAddressCityName": "CORAL SPRINGS",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33065-5795",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-341-8513",
"PracticeLocationAddressFaxNumber": "954-341-8514",
"EnumerationDate": "03/05/2012",
"LastUpdateDate": "10/04/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MADIEFSKY",
"AuthorizedOfficialFirstName": "LAWRENCE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "954-341-8513",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP1100X",
"TaxonomyName": "Podiatric Clinic/Center",
"LicenseNumber": "1602",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}