{
"Npi": {
"NPI": "1720122732",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHARLES J. FALSONE P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1011 KATHRYN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOALSBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "16827-1646",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "814-466-9093",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2790 EARLYSTOWN RD",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "CENTRE HALL",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "16828-9149",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-364-1812",
"PracticeLocationAddressFaxNumber": "814-364-1813",
"EnumerationDate": "02/16/2007",
"LastUpdateDate": "05/11/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FALSONE",
"AuthorizedOfficialFirstName": "CHARLES",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "814-364-1812",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152WC0802X",
"TaxonomyName": "Corneal and Contact Management Optometrist",
"LicenseNumber": "OEG 000392",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}