{
"Npi": {
"NPI": "1215055561",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DUER",
"FirstName": "STACEY",
"MiddleName": "RENEE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MSPT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "STREETER",
"OtherFirstName": "STACEY",
"OtherMiddleName": "RENEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MSPT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "129 RAMONA LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SWEDESBORO",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08085-4071",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-294-9062",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1601 KIRKWOOD HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WILMINGTON",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19805-4917",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-994-2511",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/26/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225100000X",
"TaxonomyName": "Physical Therapist",
"LicenseNumber": "40QA01155600",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}