{
"Npi": {
"NPI": "1578638607",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF SAN ANGELO",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "72 WEST COLLEGE",
"SecondLineMailingAddress": "ROOM 104",
"MailingAddressCityName": "SAN ANGELO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76903",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "325-657-4359",
"MailingAddressFaxNumber": "325-655-4874",
"FirstLinePracticeLocationAddress": "2 CITY HALL PLAZA",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN ANGELO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76903",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "325-657-4500",
"PracticeLocationAddressFaxNumber": "325-481-2812",
"EnumerationDate": "11/22/2006",
"LastUpdateDate": "04/04/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOMINGUEZ",
"AuthorizedOfficialFirstName": "HAROLD",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "CITY MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "325-657-4241",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "00455",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}