{
"Npi": {
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"EntityType": "Individual",
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"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "SANDERS",
"FirstName": "KIMBERLY",
"MiddleName": "ANN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "OTRL",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SEITZ",
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"OtherCredential": "OTRL",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3850 FRUIT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ERIE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "16504-2022",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-553-2504",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3850 FRUIT ST",
"SecondLinePracticeLocationAddress": "155 W 8TH ST",
"PracticeLocationAddressCityName": "ERIE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "16504-2022",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-451-8412",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/24/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225XP0200X",
"TaxonomyName": "Pediatric Occupational Therapist",
"LicenseNumber": "OC009928",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}