{
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"EIN": null,
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"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
"OrgName": "THRESHOLD COMMUNITY MIDWIVES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 8",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CABOT",
"MailingAddressStateName": "VT",
"MailingAddressPostalCode": "05647-0008",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "267-342-3172",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4499 RT 215 NORTH, CABOT, VT, 05647",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CABOT",
"PracticeLocationAddressStateName": "VT",
"PracticeLocationAddressPostalCode": "05647",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "267-342-3172",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2022",
"LastUpdateDate": "03/24/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NADAV",
"AuthorizedOfficialFirstName": "EMILY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "LICENSED MIDWIVE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LM",
"AuthorizedOfficialTelephoneNumber": "267-342-3172",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "176B00000X",
"TaxonomyName": "Midwife",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}