{
"Npi": {
"NPI": "1740790971",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GOMART",
"FirstName": "EMILIE",
"MiddleName": "MARIE-DOMINIQUE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.SC.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BERG-GOMART",
"OtherFirstName": "EMILIE",
"OtherMiddleName": "M.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "5305 BLACKISTONE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BETHESDA",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20816-1822",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-767-6879",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "13200 NEW HAMPSHIRE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SILVER SPRING",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20904-3433",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-960-1198",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/02/2017",
"LastUpdateDate": "10/02/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
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"AuthorizedOfficialTitle": null,
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "LGM653",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}