{
"Npi": {
"NPI": "1043409766",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "BROWN'S ENTERPRISES",
"ParentOrgTIN": null,
"OrgName": "NEW BALANCE KANSAS CITY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6607 W 119TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OVERLAND PARK",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66209-2020",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-696-1646",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6607 W 119TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OVERLAND PARK",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66209-2020",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-696-1646",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/18/2007",
"LastUpdateDate": "10/18/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HILES",
"AuthorizedOfficialFirstName": "JULIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CERTIFIED PEDORTHIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "C.PED",
"AuthorizedOfficialTelephoneNumber": "913-696-1646",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "013370",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}