{
"Npi": {
"NPI": "1922282805",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CAMP NELSON AMBULANCE ASSOCIATION INCORPORATED",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1500A NELSON DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRINGVILLE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93265-9165",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "559-542-2140",
"MailingAddressFaxNumber": "559-542-2140",
"FirstLinePracticeLocationAddress": "1500A NELSON DRIVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPRINGVILLE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "559-542-2140",
"PracticeLocationAddressFaxNumber": "559-542-2140",
"EnumerationDate": "12/27/2007",
"LastUpdateDate": "01/27/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GALBRAITH",
"AuthorizedOfficialFirstName": "DDOROTHY",
"AuthorizedOfficialMiddleName": "I",
"AuthorizedOfficialTitle": "TREASURER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "559-542-2403",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "04/002",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}