{
"Npi": {
"NPI": "1245356641",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GIBSON CENTER FOR SENIOR SERVICES, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 655",
"SecondLineMailingAddress": "14 GROVE STREET",
"MailingAddressCityName": "NORTH CONWAY",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03860",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "603-356-3231",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14 GROVE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH CONWAY",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03860-5363",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-356-3231",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/21/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KASLOW",
"AuthorizedOfficialFirstName": "KENNETH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATION DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "603-356-3231",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332U00000X",
"TaxonomyName": "Home Delivered Meals",
"LicenseNumber": "5001",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}