{
"Npi": {
"NPI": "1649390196",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "RUIZ",
"FirstName": "MICHELLE",
"MiddleName": "DEANN",
"NamePrefix": "MS.",
"NameSuffix": "I",
"Credential": "H.S.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JENS",
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"OtherNamePrefix": "MS.",
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"OtherCredential": "H.S.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "19018 STILLMORE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CANYON COUNTRY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91351-3338",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-312-9846",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "21545 CENTRE POINTE PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA CLARITA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91350-2947",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-259-9439",
"PracticeLocationAddressFaxNumber": "661-259-9658",
"EnumerationDate": "03/29/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225400000X",
"TaxonomyName": "Rehabilitation Practitioner",
"LicenseNumber": "9381",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}