{
"Npi": {
"NPI": "1881909851",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CENTRAL CAROLINA FAMILY PRACTICE,PC",
"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": "7312 VILLANOW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SANFORD",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27332-9108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-777-0303",
"MailingAddressFaxNumber": "919-776-0395",
"FirstLinePracticeLocationAddress": "118 S GULF ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANFORD",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27330-4211",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-777-0303",
"PracticeLocationAddressFaxNumber": "919-776-0395",
"EnumerationDate": "08/13/2010",
"LastUpdateDate": "08/13/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUNAO",
"AuthorizedOfficialFirstName": "ALFRED",
"AuthorizedOfficialMiddleName": "SIDNEY B",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "919-777-0303",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "200300754",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}