{
"Npi": {
"NPI": "1033391594",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "HOSPITAL OF SAINT RAPHAEL",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "196 PARK ST APT 7",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW HAVEN",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06511-4761",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-278-2915",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "196 PARK ST APT 7",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW HAVEN",
"PracticeLocationAddressStateName": "CT",
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"PracticeLocationAddressTelephoneNumber": "203-278-2915",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/27/2007",
"LastUpdateDate": "11/27/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHAIB",
"AuthorizedOfficialFirstName": "WALID",
"AuthorizedOfficialMiddleName": "LABIB",
"AuthorizedOfficialTitle": "PGYI",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "203-278-2915",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0600X",
"TaxonomyName": "Adult Day Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}