{
"Npi": {
"NPI": "1649520412",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "INTERGRATED HEALTH SOLUTIONS, INC.,",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "204 W MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FARMINGTON",
"MailingAddressStateName": "NM",
"MailingAddressPostalCode": "87401-6245",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "505-990-2245",
"MailingAddressFaxNumber": "505-792-6602",
"FirstLinePracticeLocationAddress": "1601B E 20TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FARMINGTON",
"PracticeLocationAddressStateName": "NM",
"PracticeLocationAddressPostalCode": "87401-4307",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "505-990-2245",
"PracticeLocationAddressFaxNumber": "505-792-6602",
"EnumerationDate": "09/19/2012",
"LastUpdateDate": "04/14/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KING-HUTCHINS",
"AuthorizedOfficialFirstName": "RALFORD",
"AuthorizedOfficialMiddleName": "GREGORY",
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "505-516-0448",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "2T3368",
"LicenseNumberStateCode": "NM",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}