{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADE ADEDUNTAN",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "16103 APRIL RIDGE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77083",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-818-1754",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "16103 APRIL RIDGE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77083-5255",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "832-818-1754",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/26/2015",
"LastUpdateDate": "10/26/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADEDUNTAN",
"AuthorizedOfficialFirstName": "ADEWUMI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "AGENT",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "832-818-1754",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "2019839",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "305R00000X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}