{
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"FirstLineMailingAddress": "810 BACK RIVER NECK RD",
"SecondLineMailingAddress": "SUITE D",
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"MailingAddressPostalCode": "21221-1920",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-238-2242",
"MailingAddressFaxNumber": "410-238-7761",
"FirstLinePracticeLocationAddress": "810 BACK RIVER NECK RD",
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"PracticeLocationAddressTelephoneNumber": "410-238-2242",
"PracticeLocationAddressFaxNumber": "410-238-7761",
"EnumerationDate": "10/17/2012",
"LastUpdateDate": "10/17/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARSIGLIA",
"AuthorizedOfficialFirstName": "MIKE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "410-238-2242",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}