{
"Npi": {
"NPI": "1376864967",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CLARITY AUDIOLOGY & HEARING SOLUTIONS, LLC",
"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": "3290 N RIDGE RD STE 125",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELLICOTT CITY",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21043-3656",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-696-2890",
"MailingAddressFaxNumber": "410-696-2886",
"FirstLinePracticeLocationAddress": "3290 N RIDGE ROAD SUITE 125",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELLICOTT CITY",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21043-4173",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-669-1797",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/17/2010",
"LastUpdateDate": "03/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARSON",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "BUSINESS OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "AU.D.",
"AuthorizedOfficialTelephoneNumber": "410-696-2890",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0700X",
"TaxonomyName": "Hearing and Speech Clinic/Center",
"LicenseNumber": "01197",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}