{
"Npi": {
"NPI": "1679749758",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE HARVILLE GROUP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1395 S. MARIETTA PKWY SE",
"SecondLineMailingAddress": "BLDG 400-105",
"MailingAddressCityName": "MARIETTA",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30067",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-672-7976",
"MailingAddressFaxNumber": "770-672-7975",
"FirstLinePracticeLocationAddress": "1395 S MARIETTA PKWY SE",
"SecondLinePracticeLocationAddress": "BLDG 400-105",
"PracticeLocationAddressCityName": "MARIETTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30067-4440",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-672-7976",
"PracticeLocationAddressFaxNumber": "770-672-7975",
"EnumerationDate": "05/07/2008",
"LastUpdateDate": "05/10/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARVILLE",
"AuthorizedOfficialFirstName": "VINCENT",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "PHARMACIST/MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.PH",
"AuthorizedOfficialTelephoneNumber": "770-672-7976",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHHH000051",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}