{
"Npi": {
"NPI": "1164597993",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LOUIS G. PETCU, M.D., P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "785 WILLIAMS ST",
"SecondLineMailingAddress": "#354",
"MailingAddressCityName": "LONGMEADOW",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01106-2063",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "413-538-8899",
"MailingAddressFaxNumber": "413-538-7122",
"FirstLinePracticeLocationAddress": "10 HOSPITAL DR",
"SecondLinePracticeLocationAddress": "STE 103",
"PracticeLocationAddressCityName": "HOLYOKE",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01040-6603",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "413-538-8899",
"PracticeLocationAddressFaxNumber": "413-538-7122",
"EnumerationDate": "11/21/2006",
"LastUpdateDate": "07/10/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PETCU",
"AuthorizedOfficialFirstName": "LOUIS",
"AuthorizedOfficialMiddleName": "GEORGE",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D., M.S.",
"AuthorizedOfficialTelephoneNumber": "413-538-8899",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207YX0602X",
"TaxonomyName": "Otolaryngic Allergy Physician",
"LicenseNumber": "75221",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}