{
"Npi": {
"NPI": "1225283534",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AUDIO-AID RX",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6855 EASTMAN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDLAND",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48642-7897",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "989-835-1219",
"MailingAddressFaxNumber": "989-835-7198",
"FirstLinePracticeLocationAddress": "6855 N. EASTMAN AVE.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIDLAND",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48642",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "989-835-1219",
"PracticeLocationAddressFaxNumber": "989-835-7198",
"EnumerationDate": "12/01/2008",
"LastUpdateDate": "12/01/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALL",
"AuthorizedOfficialFirstName": "DEBRA",
"AuthorizedOfficialMiddleName": "LYNN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "AU.D.",
"AuthorizedOfficialTelephoneNumber": "989-835-1219",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "1601000067",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}