{
"Npi": {
"NPI": "1811404890",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMPREHENSIVE FORENSIC CONSULTANTS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "123 HAZELTINE BND",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SUMMERVILLE",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29483-5360",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "843-708-0185",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "123 HAZELTINE BND",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SUMMERVILLE",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29483-5360",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "843-708-0185",
"PracticeLocationAddressFaxNumber": "888-389-9894",
"EnumerationDate": "12/29/2017",
"LastUpdateDate": "06/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GILL",
"AuthorizedOfficialFirstName": "DONNA",
"AuthorizedOfficialMiddleName": "F",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DNP, FNP-C",
"AuthorizedOfficialTelephoneNumber": "843-708-0185",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251B00000X",
"TaxonomyName": "Case Management Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}