{
"Npi": {
"NPI": "1164522017",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CENTURY AMBULANCE SERVICE ORG,",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "722 NEPPERHAN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YONKERS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10703-2312",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "877-367-7717",
"MailingAddressFaxNumber": "914-798-9796",
"FirstLinePracticeLocationAddress": "8730 123RD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RICHMOND HILL",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11418-2731",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-235-9000",
"PracticeLocationAddressFaxNumber": "718-235-9867",
"EnumerationDate": "09/22/2006",
"LastUpdateDate": "02/08/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARINARO",
"AuthorizedOfficialFirstName": "DOMENICK",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO/PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "718-235-9000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "7342",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}