{
"Npi": {
"NPI": "1629321302",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CAROLYN B PACE MD PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2600 E SOUTHERN AVE",
"SecondLineMailingAddress": "SUITE K",
"MailingAddressCityName": "TEMPE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85282-7610",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-456-6561",
"MailingAddressFaxNumber": "480-491-3500",
"FirstLinePracticeLocationAddress": "2600 E SOUTHERN AVE",
"SecondLinePracticeLocationAddress": "SUITE K",
"PracticeLocationAddressCityName": "TEMPE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85282-7610",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-456-6561",
"PracticeLocationAddressFaxNumber": "480-491-3500",
"EnumerationDate": "10/18/2012",
"LastUpdateDate": "10/18/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PACE",
"AuthorizedOfficialFirstName": "CAROLYN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "480-456-6561",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "22677",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}