{
"Npi": {
"NPI": "1336474634",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CRYSTAL CLEAR HEARING INC.",
"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": "90-150 ROUTE 206",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STANHOPE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07874",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-347-4327",
"MailingAddressFaxNumber": "973-347-4302",
"FirstLinePracticeLocationAddress": "90-150 ROUTE 206",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STANHOPE",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07874-3131",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-347-4327",
"PracticeLocationAddressFaxNumber": "973-347-4302",
"EnumerationDate": "10/05/2009",
"LastUpdateDate": "10/05/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YARBROUGH",
"AuthorizedOfficialFirstName": "AMBER",
"AuthorizedOfficialMiddleName": "DAWN",
"AuthorizedOfficialTitle": "PRESIDENT / OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BC-HIS",
"AuthorizedOfficialTelephoneNumber": "973-347-4327",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "332S00000X",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}