{
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"FirstLineMailingAddress": "PO BOX 691363",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "16010 RIDLON ST",
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"EnumerationDate": "05/08/2007",
"LastUpdateDate": "01/27/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAAKE",
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"Taxonomies": {
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"TaxonomyName": "Land Ambulance",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}