{
"Npi": {
"NPI": "1073808200",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DUFFUS",
"FirstName": "DEANDREA",
"MiddleName": "YVONNE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.P.M",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 530730",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DEBARY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32753-0730",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "904-355-1553",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "110 POND CT",
"SecondLinePracticeLocationAddress": "STE 101",
"PracticeLocationAddressCityName": "DEBARY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32713-2717",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "386-777-3266",
"PracticeLocationAddressFaxNumber": "386-774-9096",
"EnumerationDate": "06/15/2011",
"LastUpdateDate": "05/11/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "PO3632",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}