{
"Npi": {
"NPI": "1073997953",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAMARRS HANDS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3090 BASSETT HGHTS RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BASSETT",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24055-4815",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "276-252-1043",
"MailingAddressFaxNumber": "276-421-2300",
"FirstLinePracticeLocationAddress": "3090 BASSETT HEIGHTS ROAD EXT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BASSETT",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "24055-4812",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "276-252-1043",
"PracticeLocationAddressFaxNumber": "276-421-2300",
"EnumerationDate": "07/10/2015",
"LastUpdateDate": "07/10/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KIRBY",
"AuthorizedOfficialFirstName": "DORTHEA",
"AuthorizedOfficialMiddleName": "MORNET",
"AuthorizedOfficialTitle": "SERVICE FACILATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "276-252-1043",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302F00000X",
"TaxonomyName": "Exclusive Provider Organization",
"LicenseNumber": "45-0674833",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}