{
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"FirstLineMailingAddress": "5210 INDIAN HEAD HWY",
"SecondLineMailingAddress": "UNIT 1RR",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "844-433-3725",
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"FirstLinePracticeLocationAddress": "5210 INDIAN HEAD HWY",
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"PracticeLocationAddressFaxNumber": "844-833-9445",
"EnumerationDate": "04/06/2015",
"LastUpdateDate": "10/14/2024",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAPUR",
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"Taxonomies": {
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}
},
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}
}