{
"Npi": {
"NPI": "1326422569",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SILEA",
"FirstName": "VICTOR",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RPH.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "339 E MAPLE ST",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "NORTH CANTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44720-2593",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-858-7393",
"MailingAddressFaxNumber": "800-858-7394",
"FirstLinePracticeLocationAddress": "339 E MAPLE ST",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "NORTH CANTON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44720-2593",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-858-7393",
"PracticeLocationAddressFaxNumber": "800-858-7394",
"EnumerationDate": "07/17/2015",
"LastUpdateDate": "07/17/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "1835G0303X",
"TaxonomyName": "Geriatric Pharmacist",
"LicenseNumber": "03211361",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "1835G0303X",
"TaxonomyName": "Geriatric Pharmacist",
"LicenseNumber": "RP447534",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}