{
"Npi": {
"NPI": "1669826756",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FRAN KRIVIT MA CCC/SLP PC",
"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": "486 BERRY HILL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SYOSSET",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11791-1103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "486 BERRY HILL RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SYOSSET",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11791-1103",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-353-9670",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/15/2016",
"LastUpdateDate": "04/15/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KRIVIT",
"AuthorizedOfficialFirstName": "FRAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SLP",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MA CCC",
"AuthorizedOfficialTelephoneNumber": "516-353-9670",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "252Y00000X",
"TaxonomyName": "Early Intervention Provider Agency",
"LicenseNumber": "008119-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}