{
"Npi": {
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"IsOrgSubpart": "N",
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"OrgName": "INDIANAPOLIS TREATMENT CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2803 W WALNUT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENFIELD",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46140-9221",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-318-2215",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2626 E 46TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "INDIANAPOLIS",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46205-2380",
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"PracticeLocationAddressTelephoneNumber": "317-475-9066",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/18/2016",
"LastUpdateDate": "03/18/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAYS",
"AuthorizedOfficialFirstName": "JULIA",
"AuthorizedOfficialMiddleName": "ANNETTE",
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"AuthorizedOfficialNamePrefix": "MRS.",
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"AuthorizedOfficialCredential": "LSW",
"AuthorizedOfficialTelephoneNumber": "317-475-9066",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2800X",
"TaxonomyName": "Methadone Clinic",
"LicenseNumber": null,
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}