{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MHB CONSULTANT",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "235 W 56TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIALEAH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33012-2738",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7855 NW 12TH ST # 117",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DORAL",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33126-1826",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-742-2198",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/19/2016",
"LastUpdateDate": "05/19/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALVAREZ",
"AuthorizedOfficialFirstName": "ILEANA",
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"AuthorizedOfficialTitle": "R.B.T",
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"AuthorizedOfficialTelephoneNumber": "786-346-7605",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "15-01490",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}