{
"Npi": {
"NPI": "1245543388",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ASSURED HEALTH MONITORING SYSTEMS",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "295 SEVEN FARMS DR",
"SecondLineMailingAddress": "SUITE C-163",
"MailingAddressCityName": "DANIEL ISLAND",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29492-8001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-562-6439",
"MailingAddressFaxNumber": "704-875-1877",
"FirstLinePracticeLocationAddress": "11330 VANSTORY DR",
"SecondLinePracticeLocationAddress": "SUITE 109E",
"PracticeLocationAddressCityName": "HUNTERSVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28078-8143",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-562-6439",
"PracticeLocationAddressFaxNumber": "704-875-1877",
"EnumerationDate": "07/19/2010",
"LastUpdateDate": "07/19/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ULLO",
"AuthorizedOfficialFirstName": "EVA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MEMBER/MANAGER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "704-562-6439",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333300000X",
"TaxonomyName": "Emergency Response System Companies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}