{
"Npi": {
"NPI": "1205193703",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ACOUSTICARE HEARING AND AUDIOLOGY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3935 HIGHFIELD LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CENTER VALLEY",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18034-9680",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-216-4977",
"MailingAddressFaxNumber": "610-965-0859",
"FirstLinePracticeLocationAddress": "1011 BROOKSIDE RD STE 260",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALLENTOWN",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18106-9021",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-216-4977",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/20/2012",
"LastUpdateDate": "01/03/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PENGELLY",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "HENRY",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DOCTOR OF AUDIOLOGY",
"AuthorizedOfficialTelephoneNumber": "610-216-4977",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0700X",
"TaxonomyName": "Hearing and Speech Clinic/Center",
"LicenseNumber": "AT00219",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}