{
"Npi": {
"NPI": "1215268941",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BARVINCHACK ASSOCIATES L.L.C.",
"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": "PO BOX 460",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENCASTLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17225-0460",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-597-9470",
"MailingAddressFaxNumber": "717-597-1701",
"FirstLinePracticeLocationAddress": "11142 WILLIAMSPORT PIKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREENCASTLE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17225-8516",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-597-9470",
"PracticeLocationAddressFaxNumber": "717-597-1701",
"EnumerationDate": "01/20/2010",
"LastUpdateDate": "01/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARVINCHACK",
"AuthorizedOfficialFirstName": "SAMUEL",
"AuthorizedOfficialMiddleName": "EVON",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "717-597-9470",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "DC001177L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}