{
"Npi": {
"NPI": "1396837001",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TOWN OF AGAWAM",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "36 MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AGAWAM",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01001-1801",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "413-786-0400",
"MailingAddressFaxNumber": "413-786-9927",
"FirstLinePracticeLocationAddress": "36 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AGAWAM",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01001-1801",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "413-786-0400",
"PracticeLocationAddressFaxNumber": "413-786-9927",
"EnumerationDate": "09/29/2006",
"LastUpdateDate": "07/15/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WHITE",
"AuthorizedOfficialFirstName": "RANDALL",
"AuthorizedOfficialMiddleName": "GEORGE",
"AuthorizedOfficialTitle": "HEALTH AGENT",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "413-786-0400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251K00000X",
"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}