{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "NICOLE DASILVA, LICSW",
"LastName": null,
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"NameSuffix": null,
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"OtherOrgNameTypeCode": "6",
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"FirstLineMailingAddress": "279 SHAW ST APT 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW BEDFORD",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02745-5346",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-965-9129",
"MailingAddressFaxNumber": "508-730-3436",
"FirstLinePracticeLocationAddress": "279 SHAW ST APT 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW BEDFORD",
"PracticeLocationAddressStateName": "MA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-965-9129",
"PracticeLocationAddressFaxNumber": "508-730-3436",
"EnumerationDate": "04/04/2018",
"LastUpdateDate": "04/04/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DASILVA",
"AuthorizedOfficialFirstName": "NICOLE",
"AuthorizedOfficialMiddleName": "A",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LICSW",
"AuthorizedOfficialTelephoneNumber": "508-965-9219",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "116314",
"LicenseNumberStateCode": "MA",
"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."
}
}
}
}