{
"Npi": {
"NPI": "1215560818",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MEGHAN WALSH PT PLLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 865",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MONTAUK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11954-0701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-676-5963",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "38 S ETNA AVE STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MONTAUK",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressTelephoneNumber": "917-676-5963",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/21/2020",
"LastUpdateDate": "02/21/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALSH",
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"AuthorizedOfficialMiddleName": "ANN",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSPT",
"AuthorizedOfficialTelephoneNumber": "917-676-5963",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}