{
"Npi": {
"NPI": "1669919007",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HYPERTENSION AND DIABETES PREVENTION AND TREATMENT CENTER INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1812 MALDEN DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLORENCE",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29505-3128",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "843-307-2360",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1812 MALDEN DRIVE",
"SecondLinePracticeLocationAddress": "HDPT CENTER INC",
"PracticeLocationAddressCityName": "FLORENCE",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29505-3128",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "843-307-2360",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/24/2017",
"LastUpdateDate": "01/24/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COE",
"AuthorizedOfficialFirstName": "EVELYN",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "NURSE PRACTITIONER/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DNP",
"AuthorizedOfficialTelephoneNumber": "843-307-2360",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "APRN 1734",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}