{
"Npi": {
"NPI": "1578615043",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALLEGANY AMBULANCE SERVICE INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "176 W MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FROSTBURG",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21532-1607",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-689-1133",
"MailingAddressFaxNumber": "301-689-5551",
"FirstLinePracticeLocationAddress": "176 W MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FROSTBURG",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21532-1607",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-689-1133",
"PracticeLocationAddressFaxNumber": "301-689-5551",
"EnumerationDate": "01/17/2007",
"LastUpdateDate": "11/08/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TROUTMAN",
"AuthorizedOfficialFirstName": "DORIS",
"AuthorizedOfficialMiddleName": "FAYE",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "301-689-1133",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "045",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}