{
"Npi": {
"NPI": "1255595401",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CREATIVE EFFECTIVE TECHNOLOGIES INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "400 ADCOX RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RAEFORD",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28376-6548",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-904-1953",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "370 RIVER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALEXANDRIA",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71302-9606",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-729-1913",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/16/2008",
"LastUpdateDate": "07/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHESNE",
"AuthorizedOfficialFirstName": "ALTON",
"AuthorizedOfficialMiddleName": "MICHAEL",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "318-729-1913",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}