{
"Npi": {
"NPI": "1053877977",
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"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GOMEZ",
"FirstName": "AILYN",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "F.N.P.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HERNANDEZ",
"OtherFirstName": "AILYN MARIE",
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1013 VALLEY LIGHT AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HENDERSON",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89011",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "702-306-4591",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3750 S. JONES BLVD.",
"SecondLinePracticeLocationAddress": "SUITE 120",
"PracticeLocationAddressCityName": "LAS VEGAS",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89103-2209",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "702-434-8880",
"PracticeLocationAddressFaxNumber": "702-862-8880",
"EnumerationDate": "02/15/2019",
"LastUpdateDate": "02/15/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "816652",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}