{
"Npi": {
"NPI": "1700274818",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SABERHEALTHCARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1663 LAUGHTON CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROADVIEW HEIGHTS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44147-4438",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-224-4679",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1663 LAUGHTON CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROADVIEW HEIGHTS",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "216-224-4679",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/26/2014",
"LastUpdateDate": "12/26/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLVILN",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "ANTHONY",
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR/L",
"AuthorizedOfficialTelephoneNumber": "440-546-0643",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "275N00000X",
"TaxonomyName": "Medicare Defined Swing Bed Hospital Unit",
"LicenseNumber": "27-1180031",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}