{
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"FirstLineMailingAddress": "215 E WATER ST",
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"MailingAddressCityName": "MUNCY",
"MailingAddressStateName": "PA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
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"FirstLinePracticeLocationAddress": "215 E WATER ST",
"SecondLinePracticeLocationAddress": "SUSQUEHANNA HEALTH SKILLED NURSING & REHAB CENTER",
"PracticeLocationAddressCityName": "MUNCY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-546-4040",
"PracticeLocationAddressFaxNumber": "570-546-4095",
"EnumerationDate": "05/02/2006",
"LastUpdateDate": "02/02/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}