{
"Npi": {
"NPI": "1396945705",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LAMBERT",
"FirstName": "BENJAMIN",
"MiddleName": "WADE",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "IDC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "JWTC UNIT 35951",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAMP GONSALVES",
"MailingAddressStateName": "FPO",
"MailingAddressPostalCode": "AP",
"MailingAddressCountryCode": "JP",
"MailingAddressTelephoneNumber": "011816117222238",
"MailingAddressFaxNumber": "011816117222235",
"FirstLinePracticeLocationAddress": "JWTC UNIT 35951",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CAMP GONSALVES",
"PracticeLocationAddressStateName": "FPO AP",
"PracticeLocationAddressPostalCode": "96602 5951",
"PracticeLocationAddressCountryCode": "JP",
"PracticeLocationAddressTelephoneNumber": "011816117222238",
"PracticeLocationAddressFaxNumber": "011816117222235",
"EnumerationDate": "07/23/2007",
"LastUpdateDate": "07/23/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1710I1002X",
"TaxonomyName": "Independent Duty Corpsman",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}