{
"Npi": {
"NPI": "1134669740",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EMANUELE HEARING HEALTHCARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3949 MULLENHURST DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALM HARBOR",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34685-3666",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-424-3121",
"MailingAddressFaxNumber": "727-934-9197",
"FirstLinePracticeLocationAddress": "6783 VETERANS PKWY",
"SecondLinePracticeLocationAddress": "300 BLDG 4",
"PracticeLocationAddressCityName": "COLUMBUS",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31909-3254",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-576-9888",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/01/2017",
"LastUpdateDate": "03/01/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EMANUELE",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "AMBR/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "727-424-3121",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}