{
"Npi": {
"NPI": "1750824835",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EARLINE MARCHELLO",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 13825",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OGDEN",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84412-3825",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "385-238-9806",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1190 E 5425 S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOUTH OGDEN",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84403-4548",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "385-238-9806",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/22/2016",
"LastUpdateDate": "11/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARCHELLO",
"AuthorizedOfficialFirstName": "CINDY",
"AuthorizedOfficialMiddleName": "EARLINE",
"AuthorizedOfficialTitle": "ACUPUNCTURIST/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LAC",
"AuthorizedOfficialTelephoneNumber": "358-238-9806",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "352031 1201",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}