{
"Npi": {
"NPI": "1093766081",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALLAN ARTIFICIAL LIMBS",
"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": "926 BROADWAY ST",
"SecondLineMailingAddress": "SUITE 3",
"MailingAddressCityName": "QUINCY",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62301-2730",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "217-221-8991",
"MailingAddressFaxNumber": "217-221-8982",
"FirstLinePracticeLocationAddress": "926 BROADWAY ST",
"SecondLinePracticeLocationAddress": "SUITE 3",
"PracticeLocationAddressCityName": "QUINCY",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "62301-2730",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "217-221-8991",
"PracticeLocationAddressFaxNumber": "217-221-8982",
"EnumerationDate": "05/13/2006",
"LastUpdateDate": "04/20/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHULZE",
"AuthorizedOfficialFirstName": "ALLAN",
"AuthorizedOfficialMiddleName": "DAVID",
"AuthorizedOfficialTitle": "CERTIFIED PROSTHETIST/OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "C.P.",
"AuthorizedOfficialTelephoneNumber": "217-221-8991",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": "211-000154",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}