{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
"OrgName": "FOOT & ANKLE ASSOCIATES",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2 CHAMBERLAIN AVE UNIT 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINTHROP",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02152-1021",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "617-846-2609",
"MailingAddressFaxNumber": "617-846-3513",
"FirstLinePracticeLocationAddress": "2 CHAMBERLAIN AVE UNIT 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WINTHROP",
"PracticeLocationAddressStateName": "MA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "617-846-2609",
"PracticeLocationAddressFaxNumber": "617-846-3513",
"EnumerationDate": "12/28/2006",
"LastUpdateDate": "09/30/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARIBALDI",
"AuthorizedOfficialFirstName": "DOMINICK",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "617-846-2609",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "1786",
"LicenseNumberStateCode": "MA",
"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."
}
}
}
}