{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KENNITH E MCCARTY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1423 SIMEONOFF STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KODIAK",
"MailingAddressStateName": "AK",
"MailingAddressPostalCode": "99615-9961",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "907-487-2223",
"MailingAddressFaxNumber": "907-487-2229",
"FirstLinePracticeLocationAddress": "2975 MILL BAY RD.",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "KODIAK",
"PracticeLocationAddressStateName": "AK",
"PracticeLocationAddressPostalCode": "99615-9961",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "907-487-2223",
"PracticeLocationAddressFaxNumber": "907-487-2229",
"EnumerationDate": "08/20/2010",
"LastUpdateDate": "08/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCCARTY",
"AuthorizedOfficialFirstName": "KEN",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LMFT",
"AuthorizedOfficialTelephoneNumber": "907-487-2223",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "237",
"LicenseNumberStateCode": "AK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}