{
"Npi": {
"NPI": "1275911653",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PEACE FROM PIECES",
"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": "PO BOX 1473",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOPEWELL",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23860-1473",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "240-478-2727",
"MailingAddressFaxNumber": "240-595-6187",
"FirstLinePracticeLocationAddress": "307 LAFAYETTE BLVD STE 202",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FREDERICKSBURG",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22401-6079",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "240-478-2727",
"PracticeLocationAddressFaxNumber": "240-595-6187",
"EnumerationDate": "05/18/2015",
"LastUpdateDate": "11/27/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON",
"AuthorizedOfficialFirstName": "PAMELA",
"AuthorizedOfficialMiddleName": "ROSETTA",
"AuthorizedOfficialTitle": "RESIDENT COUNSELOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RESIDENT COUNSELOR",
"AuthorizedOfficialTelephoneNumber": "240-478-2727",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}