{
"Npi": {
"NPI": "1194847103",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NOEL SILAN, DPM, PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 11741",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TAMUNING",
"MailingAddressStateName": "GU",
"MailingAddressPostalCode": "96931",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "671-633-3668",
"MailingAddressFaxNumber": "671-647-0027",
"FirstLinePracticeLocationAddress": "138 KAYEN CHANDO ST",
"SecondLinePracticeLocationAddress": "EXPRESS MED PHARMACY BLDG",
"PracticeLocationAddressCityName": "DEDEDO",
"PracticeLocationAddressStateName": "GU",
"PracticeLocationAddressPostalCode": "96929",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "671-633-3668",
"PracticeLocationAddressFaxNumber": "671-647-0027",
"EnumerationDate": "04/03/2007",
"LastUpdateDate": "08/20/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAFNAS",
"AuthorizedOfficialFirstName": "CAROLYN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "BILLING SUPERVISOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "671-646-3855",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213E00000X",
"TaxonomyName": "Podiatrist",
"LicenseNumber": "POD000004",
"LicenseNumberStateCode": "GU",
"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."
}
}
}
}