{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "24451 LAKESHORE BLVD",
"SecondLineMailingAddress": "SUITE 1503 WEST",
"MailingAddressCityName": "EUCLID",
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"MailingAddressPostalCode": "44123",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-385-9858",
"MailingAddressFaxNumber": "216-261-3108",
"FirstLinePracticeLocationAddress": "24451 LAKESHORE BLVD",
"SecondLinePracticeLocationAddress": "SUITE 1503 WEST",
"PracticeLocationAddressCityName": "EUCLID",
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"PracticeLocationAddressTelephoneNumber": "216-385-9858",
"PracticeLocationAddressFaxNumber": "216-261-3108",
"EnumerationDate": "04/15/2010",
"LastUpdateDate": "04/15/2010",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DENSON",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "216-385-9858",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}