{
"Npi": {
"NPI": "1508132143",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CD KUKOR & ASSOCIATES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1185 MOUNT AETNA RD",
"SecondLineMailingAddress": "SUITE 300",
"MailingAddressCityName": "HAGERSTOWN",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21740-6832",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-766-4001",
"MailingAddressFaxNumber": "301-766-9324",
"FirstLinePracticeLocationAddress": "1185 MOUNT AETNA RD",
"SecondLinePracticeLocationAddress": "SUITE 300",
"PracticeLocationAddressCityName": "HAGERSTOWN",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21740-6832",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-766-4001",
"PracticeLocationAddressFaxNumber": "301-766-9324",
"EnumerationDate": "03/28/2012",
"LastUpdateDate": "03/28/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KUKOR",
"AuthorizedOfficialFirstName": "CARMEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "301-766-4001",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}