{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ALLEN'S SHOES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "331 TILTON RD",
"SecondLineMailingAddress": "UNIT 16",
"MailingAddressCityName": "NORTHFIELD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08225-1201",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-646-3515",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "331 TILTON RD",
"SecondLinePracticeLocationAddress": "UNIT 16",
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"PracticeLocationAddressStateName": "NJ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-646-3515",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/07/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOLDMAN",
"AuthorizedOfficialFirstName": "ELIZABETH",
"AuthorizedOfficialMiddleName": "ANN",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MISS",
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"AuthorizedOfficialCredential": "PEDORTHIST",
"AuthorizedOfficialTelephoneNumber": "609-646-3515",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "9899",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}