{
"Npi": {
"NPI": "1538375696",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "JON D. HALLING MD P.C.",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3610 SUNNINGDALE WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DURHAM",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27707-5654",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "985-869-2208",
"MailingAddressFaxNumber": "919-681-8993",
"FirstLinePracticeLocationAddress": "101 CIVIC CENTER LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE HAVASU CITY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "86403-5607",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "928-855-8185",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/15/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HALLING",
"AuthorizedOfficialFirstName": "JON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "985-869-2208",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207L00000X",
"TaxonomyName": "Anesthesiology Physician",
"LicenseNumber": "36627",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}