{
"Npi": {
"NPI": "1780826388",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DIAL HEWLETT JR.,M.D.,P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "22 SAGAMORE RD",
"SecondLineMailingAddress": "STE: E",
"MailingAddressCityName": "BRONXVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10708-1541",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-337-2223",
"MailingAddressFaxNumber": "914-337-0200",
"FirstLinePracticeLocationAddress": "22 SAGAMORE RD",
"SecondLinePracticeLocationAddress": "STE: E",
"PracticeLocationAddressCityName": "BRONXVILLE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10708-1541",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-337-2223",
"PracticeLocationAddressFaxNumber": "914-337-0200",
"EnumerationDate": "03/27/2009",
"LastUpdateDate": "04/17/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HEWLETT",
"AuthorizedOfficialFirstName": "DIAL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "M.D., P.C.",
"AuthorizedOfficialTelephoneNumber": "914-337-2223",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RI0200X",
"TaxonomyName": "Infectious Disease Physician",
"LicenseNumber": "138794",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}