{
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"FirstLineMailingAddress": "3518 FREMONT AVE N",
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"FirstLinePracticeLocationAddress": "3518 FREMONT AVE N",
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"EnumerationDate": "06/26/2015",
"LastUpdateDate": "06/26/2015",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SREENIVAS",
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"AuthorizedOfficialCredential": "DNP, MPH, CNM, ARNP",
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{
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},
{
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}
]
},
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}
}