{
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"IsOrgSubpart": "N",
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"OrgName": "VESNA MRZLJAK MD, PC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "6300 STEVENSON AVE",
"SecondLineMailingAddress": "UNIT A",
"MailingAddressCityName": "ALEXANDRIA",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22304-3576",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-751-6060",
"MailingAddressFaxNumber": "703-751-6870",
"FirstLinePracticeLocationAddress": "6300 STEVENSON AVE",
"SecondLinePracticeLocationAddress": "UNIT A",
"PracticeLocationAddressCityName": "ALEXANDRIA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-751-6060",
"PracticeLocationAddressFaxNumber": "703-751-6870",
"EnumerationDate": "03/01/2011",
"LastUpdateDate": "03/01/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEMING",
"AuthorizedOfficialFirstName": "NEILA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "703-751-6060",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "0101035385",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}