{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF PLYMOUTH",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "124 N MICHIGAN ST",
"SecondLineMailingAddress": "P O BOX 492",
"MailingAddressCityName": "PLYMOUTH",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46563-2133",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "574-936-2124",
"MailingAddressFaxNumber": "574-936-4371",
"FirstLinePracticeLocationAddress": "111 N CENTER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PLYMOUTH",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46563-2101",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "574-936-8291",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/01/2006",
"LastUpdateDate": "07/17/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GORSKI",
"AuthorizedOfficialFirstName": "LYNN",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "CLERK TREASURER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "574-936-2124",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "0169",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}