{
"Npi": {
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"EIN": null,
"IsSoleProprietor": "Y",
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"LastName": "BIRMINGHAM",
"FirstName": "BETH",
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"Credential": "OTR/L, CHT",
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"OtherOrgNameTypeCode": null,
"OtherLastName": "BIRMINGHAM",
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"OtherCredential": "OTR/L, CHT",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "4755 RIVERSOUND DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SNELLVILLE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30039-8562",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-310-6497",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "575 DEKALB INDUSTRIAL WAY",
"SecondLinePracticeLocationAddress": "SUITE 103",
"PracticeLocationAddressCityName": "DECATUR",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30030-1756",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-296-8511",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/19/2008",
"LastUpdateDate": "02/19/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "OT002737",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}