{
"Npi": {
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"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BROWN",
"FirstName": "LYNELL",
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"NamePrefix": null,
"NameSuffix": null,
"Credential": "AUD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DUNLAP",
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"OtherCredential": "AUD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "BELOIT HEALTH SYSTEMS INC",
"SecondLineMailingAddress": "1969 W HART ROAD",
"MailingAddressCityName": "BELOIT",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53511-2230",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-364-2293",
"MailingAddressFaxNumber": "608-364-5525",
"FirstLinePracticeLocationAddress": "BELOIT CLINIC",
"SecondLinePracticeLocationAddress": "1905 E HUEBBE PARKWAY",
"PracticeLocationAddressCityName": "BELOIT",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53511-1842",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-364-2450",
"PracticeLocationAddressFaxNumber": "608-363-7376",
"EnumerationDate": "04/13/2006",
"LastUpdateDate": "08/05/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "231H00000X",
"TaxonomyName": "Audiologist",
"LicenseNumber": "330-156",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}