{
"Npi": {
"NPI": "1679821813",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NELSON",
"FirstName": "MARGARET",
"MiddleName": "ANNETTE",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DR. MARGARET NELSON",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "NELSON",
"OtherFirstName": "MARGARET",
"OtherMiddleName": null,
"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2389 G.F GRIFFIN ROAD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BARTOW",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33830",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "863-701-5428",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2389 E.F GRIFFIN ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BARTOW",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33830",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-701-5428",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/20/2012",
"LastUpdateDate": "08/20/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LCMFT0351010512",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}