{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SERVICIOS MULTIDICIPLINARIOS PARA LA CONDUCTA HUMANA",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "HC-02 BOX 9429",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JUANA DIAZ",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00795-9614",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-448-7401",
"MailingAddressFaxNumber": "787-844-4569",
"FirstLinePracticeLocationAddress": "BRISAS DEL CARIBE CALLE 6 CASA 198",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PONCE",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00728",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-448-7401",
"PracticeLocationAddressFaxNumber": "787-844-4569",
"EnumerationDate": "07/20/2012",
"LastUpdateDate": "07/20/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORALES RIVERA",
"AuthorizedOfficialFirstName": "JANNETTE",
"AuthorizedOfficialMiddleName": "MARIE",
"AuthorizedOfficialTitle": "PSICOLOGA",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "PH. D.",
"AuthorizedOfficialTelephoneNumber": "787-448-7401",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "4299",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}