{
"Npi": {
"NPI": "1669851325",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BAYLIFF HEARING SERVICES, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "344 E CHURCH ST",
"SecondLineMailingAddress": "#1",
"MailingAddressCityName": "LOCK HAVEN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17745-2128",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-748-5444",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "344 E CHURCH ST",
"SecondLinePracticeLocationAddress": "#1",
"PracticeLocationAddressCityName": "LOCK HAVEN",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17745-2128",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-748-5444",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/27/2015",
"LastUpdateDate": "05/27/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BAYLIFF",
"AuthorizedOfficialFirstName": "JEFFREY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NBC-HIS",
"AuthorizedOfficialTelephoneNumber": "570-748-5444",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "D01166",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}