{
"Npi": {
"NPI": "1326371279",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOTHER OF MERCY ACUPUNCTURE&HERBAL CLINIC",
"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": "6017 HANNETTE NE",
"SecondLineMailingAddress": "DIANE M. HURSH DOM",
"MailingAddressCityName": "ALBUQUERQUE , 87110",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87110-5914",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "150-524-4841",
"MailingAddressFaxNumber": "150-524-3155",
"FirstLinePracticeLocationAddress": "301 WASHINGTON SE",
"SecondLinePracticeLocationAddress": "MOTHER OF MERCY ACUPUNCTURE & HERB CLINIC",
"PracticeLocationAddressCityName": "ALBUQUERQUE",
"PracticeLocationAddressStateName": "NM",
"PracticeLocationAddressPostalCode": "87108-2734",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "150-524-4840",
"PracticeLocationAddressFaxNumber": "150-524-3147",
"EnumerationDate": "09/10/2009",
"LastUpdateDate": "09/10/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HURSH",
"AuthorizedOfficialFirstName": "MARGARET",
"AuthorizedOfficialMiddleName": "DIANE",
"AuthorizedOfficialTitle": "PRESIDENT- OF NON-PROFIT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DOM",
"AuthorizedOfficialTelephoneNumber": "15052448401",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "57-1172394",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}