{
"Npi": {
"NPI": "1881018018",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF PHILADELPHIA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "500 S BROAD ST",
"SecondLineMailingAddress": "2ND FLOOR",
"MailingAddressCityName": "PHILADELPHIA",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19146-1613",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-685-6843",
"MailingAddressFaxNumber": "215-685-6700",
"FirstLinePracticeLocationAddress": "1930 S BROAD ST",
"SecondLinePracticeLocationAddress": "UNIT 14, 5TH FLOOR",
"PracticeLocationAddressCityName": "PHILADELPHIA",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19145-2328",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-685-1803",
"PracticeLocationAddressFaxNumber": "215-685-6700",
"EnumerationDate": "02/07/2014",
"LastUpdateDate": "02/07/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEVENSON",
"AuthorizedOfficialFirstName": "JANET",
"AuthorizedOfficialMiddleName": "LYNN",
"AuthorizedOfficialTitle": "REGIONAL MANAGER/FINANCIAL SERVICES",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BS, MBA",
"AuthorizedOfficialTelephoneNumber": "215-685-6792",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QF0400X",
"TaxonomyName": "Federally Qualified Health Center (FQHC)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}