{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "HEATH HEALTH AND WELLNESS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "24750 STATE ST UNIT 695",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELBERTA",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36530-2024",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-401-0976",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9275 BAY POINT DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELBERTA",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36530-6561",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-401-0976",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/16/2017",
"LastUpdateDate": "06/11/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HEATH",
"AuthorizedOfficialFirstName": "DONNA",
"AuthorizedOfficialMiddleName": "SUSANNE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CRNP",
"AuthorizedOfficialTelephoneNumber": "205-401-0976",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}