{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ANN HART PMH NP PLLC",
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"FirstLineMailingAddress": "1209 CEDAR CREEK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARY",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27513-4948",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-274-8232",
"MailingAddressFaxNumber": "919-882-1512",
"FirstLinePracticeLocationAddress": "867 WASHINGTON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RALEIGH",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27605-1255",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-833-5869",
"PracticeLocationAddressFaxNumber": "919-833-5859",
"EnumerationDate": "02/22/2019",
"LastUpdateDate": "02/22/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HART",
"AuthorizedOfficialFirstName": "ANN",
"AuthorizedOfficialMiddleName": "LEICHTLE",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PMH NP",
"AuthorizedOfficialTelephoneNumber": "919-274-8232",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}