{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LANSING EMERGENCY MEDICAL SERVICES, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "40 FIRST STREET SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WAUKON",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "52172-2022",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "563-568-3411",
"MailingAddressFaxNumber": "563-568-6139",
"FirstLinePracticeLocationAddress": "51 SOUTH FRONT STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LANSING",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "52151-0102",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "563-538-4111",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/12/2006",
"LastUpdateDate": "07/15/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WAGNER",
"AuthorizedOfficialFirstName": "MATT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SERVICE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "EMT-B, R.N.",
"AuthorizedOfficialTelephoneNumber": "563-538-4111",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "2030500",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}