{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": null,
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"LastName": "VANMARTER",
"FirstName": "DANA",
"MiddleName": "KIRBY",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PRACTITIONER",
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 151",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CRESTED BUTTE",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "81224-0151",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "970-209-5952",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "329 BELLEVIEW AVE",
"SecondLinePracticeLocationAddress": "STE C",
"PracticeLocationAddressCityName": "CRESTED BUTTE",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "81224",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "970-209-5952",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/04/2019",
"LastUpdateDate": "03/04/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171W00000X",
"TaxonomyName": "Contractor",
"LicenseNumber": "3199",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}