{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TAND C AMBULANCE SERVICE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4750 HEMPSTEAD STATION DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KETTERING",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45429-5164",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-875-0136",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "40 MICKEY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SHELBY",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44875-1737",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-544-1076",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/29/2010",
"LastUpdateDate": "12/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON",
"AuthorizedOfficialFirstName": "BONNIE",
"AuthorizedOfficialMiddleName": "L",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "419-342-3400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "1910375",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}