{
"Npi": {
"NPI": "1821226986",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEALTHY LIVING FAMILY PRACTICE PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1139",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RAYMOND",
"MailingAddressStateName": "NH",
"MailingAddressPostalCode": "03077-1139",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "603-895-1658",
"MailingAddressFaxNumber": "603-895-9394",
"FirstLinePracticeLocationAddress": "74 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RAYMOND",
"PracticeLocationAddressStateName": "NH",
"PracticeLocationAddressPostalCode": "03077",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-895-1658",
"PracticeLocationAddressFaxNumber": "603-895-9394",
"EnumerationDate": "06/29/2009",
"LastUpdateDate": "06/29/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAJCHEL",
"AuthorizedOfficialFirstName": "JAN",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OFFICE MANAGER/VP",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "603-895-1658",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "026533-23",
"LicenseNumberStateCode": "NH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}