{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "RITA LOUISE PALMER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 4128",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DETROIT",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48204-0128",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "313-605-0555",
"MailingAddressFaxNumber": "313-846-6889",
"FirstLinePracticeLocationAddress": "8210 COYLE ST",
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"PracticeLocationAddressCityName": "DETROIT",
"PracticeLocationAddressStateName": "MI",
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"PracticeLocationAddressTelephoneNumber": "313-605-0555",
"PracticeLocationAddressFaxNumber": "313-846-6889",
"EnumerationDate": "02/12/2008",
"LastUpdateDate": "07/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PALMER",
"AuthorizedOfficialFirstName": "RITA",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "313-605-0555",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": "P456738549356",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}