{
"Npi": {
"NPI": "1760526693",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GRANVILLE COUNTY DSS",
"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": "107 LANIER ST",
"SecondLineMailingAddress": "P. O. BOX 966",
"MailingAddressCityName": "OXFORD",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27565-2949",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-693-1511",
"MailingAddressFaxNumber": "919-603-5090",
"FirstLinePracticeLocationAddress": "107 LANIER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OXFORD",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27565-2949",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-693-1511",
"PracticeLocationAddressFaxNumber": "919-603-5090",
"EnumerationDate": "02/16/2007",
"LastUpdateDate": "06/24/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FISHER",
"AuthorizedOfficialFirstName": "BONNIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ACCOUNTING CLERK IV",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "919-693-1511",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251K00000X",
"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": "104100000X",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}