{
"Npi": {
"NPI": "1194383232",
"EntityType": "Organization",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KIDD SPED ENTERPRISES INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1481 MARK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EAST MEADOW",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11554-4829",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-859-3890",
"MailingAddressFaxNumber": "516-538-3703",
"FirstLinePracticeLocationAddress": "1481 MARK DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EAST MEADOW",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11554-4829",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-859-3890",
"PracticeLocationAddressFaxNumber": "516-538-3703",
"EnumerationDate": "06/04/2019",
"LastUpdateDate": "06/04/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAFISO",
"AuthorizedOfficialFirstName": "LISA",
"AuthorizedOfficialMiddleName": "ANN",
"AuthorizedOfficialTitle": "SPECIAL EDUCATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "516-859-3890",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "252Y00000X",
"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}