{
"Npi": {
"NPI": "1104089960",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MOSCARDINI",
"FirstName": "DAHLIA",
"MiddleName": "CINDY",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.B.B.S., M.P.H.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MOSCARDINI",
"OtherFirstName": "DAHLIA",
"OtherMiddleName": "CINDY",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "M.B.B.S",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3401 PGA BLVD",
"SecondLineMailingAddress": "STE #300",
"MailingAddressCityName": "PALM BEACH GARDENS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33410",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-741-0000",
"MailingAddressFaxNumber": "561-741-0002",
"FirstLinePracticeLocationAddress": "3401 PGA BLVD",
"SecondLinePracticeLocationAddress": "STE #300",
"PracticeLocationAddressCityName": "PALM BEACH GARDENS",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33410",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-741-0000",
"PracticeLocationAddressFaxNumber": "561-741-0002",
"EnumerationDate": "07/02/2008",
"LastUpdateDate": "03/09/2017",
"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": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "64676",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}