{
"Npi": {
"NPI": "1356760722",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "URIL GREENE MD PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "27 RIVER RIDGE TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORMOND BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32174-4341",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "386-871-8535",
"MailingAddressFaxNumber": "386-269-4328",
"FirstLinePracticeLocationAddress": "1501 N US HIGHWAY 441",
"SecondLinePracticeLocationAddress": "BLDG 1800",
"PracticeLocationAddressCityName": "THE VILLAGES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32159-8999",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-751-8820",
"PracticeLocationAddressFaxNumber": "386-269-4328",
"EnumerationDate": "04/14/2014",
"LastUpdateDate": "04/14/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GREENE",
"AuthorizedOfficialFirstName": "URIL",
"AuthorizedOfficialMiddleName": "COYLETTE",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "13868718535",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207P00000X",
"TaxonomyName": "Emergency Medicine Physician",
"LicenseNumber": "ME92697",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}