{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GIRARDVILLE AMBULANCE SERVICE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 726",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW CUMBERLAND",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17070-0726",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-214-6018",
"MailingAddressFaxNumber": "717-214-6020",
"FirstLinePracticeLocationAddress": "101-105 W MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GIRARDVILLE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17935",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-276-1261",
"PracticeLocationAddressFaxNumber": "570-276-1001",
"EnumerationDate": "06/24/2005",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OLSON",
"AuthorizedOfficialFirstName": "LOUANNE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "TREASURER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "570-276-1261",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "03292",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}