{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "MAPLEVIEW PHARMACY",
"ParentOrgTIN": null,
"OrgName": "MAPLEVIEW PHARMACY LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "35200 DEQUINDRE RD STE 200",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STERLING HEIGHTS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48310-4837",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-270-5000",
"MailingAddressFaxNumber": "586-270-5001",
"FirstLinePracticeLocationAddress": "35200 DEQUINDRE RD",
"SecondLinePracticeLocationAddress": "SUITE # 200",
"PracticeLocationAddressCityName": "STERLING HEIGHTS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48310",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "586-270-5000",
"PracticeLocationAddressFaxNumber": "586-270-5001",
"EnumerationDate": "08/23/2017",
"LastUpdateDate": "10/10/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAMZAN",
"AuthorizedOfficialFirstName": "MUHAMMAD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACY MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "586-270-5000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}