{
"Npi": {
"NPI": "1447321385",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHARLTON FAMILY PRACTICE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "246 SOUTHBRIDGE ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHARLTON",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01507-5237",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-248-7849",
"MailingAddressFaxNumber": "508-248-6541",
"FirstLinePracticeLocationAddress": "246 SOUTHBRIDGE ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHARLTON",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01507-5237",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-248-7849",
"PracticeLocationAddressFaxNumber": "508-248-6541",
"EnumerationDate": "11/13/2006",
"LastUpdateDate": "07/30/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARRINGTON",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "OWNER PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "508-248-7849",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "49523",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}