{
"Npi": {
"NPI": "1609181239",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "OLAOSEBIKAN",
"FirstName": "FOLAKE",
"MiddleName": "ESTHER",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MBBS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "OYAWOYE",
"OtherFirstName": "FOLAKE",
"OtherMiddleName": "ESTHER",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "MBBS",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "6604 NW EUCLID AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAWTON",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73505-5627",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "347-967-7895",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5606 SW LEE BLVD",
"SecondLinePracticeLocationAddress": "SUITE 201",
"PracticeLocationAddressCityName": "LAWTON",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73505-9688",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-699-3000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/06/2010",
"LastUpdateDate": "06/13/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "30630",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}