{
"Npi": {
"NPI": "1407361983",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WELLNOW URGENT CARE, PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 500",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELLICOTTVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14731-0500",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-699-9032",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 E 1ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OSWEGO",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13126-2662",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-699-9032",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/06/2017",
"LastUpdateDate": "05/31/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARDINALE",
"AuthorizedOfficialFirstName": "KIM",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "BILLING DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "716-699-9032",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}