{
"Npi": {
"NPI": "1922443456",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RJ ENTERPRIZES",
"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": "12966 MORRIS BRIDGE RD",
"SecondLineMailingAddress": "LOT #10",
"MailingAddressCityName": "THONOTOSASSA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33592-2444",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-468-1570",
"MailingAddressFaxNumber": "413-650-5595",
"FirstLinePracticeLocationAddress": "12966 MORRIS BRIDGE RD",
"SecondLinePracticeLocationAddress": "LOT #10",
"PracticeLocationAddressCityName": "THONOTOSASSA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33592-2444",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "813-468-1570",
"PracticeLocationAddressFaxNumber": "413-650-5595",
"EnumerationDate": "05/10/2013",
"LastUpdateDate": "05/10/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIROUX",
"AuthorizedOfficialFirstName": "RAYMOND",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PERSONAL CARE ATTENDANT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "813-468-1570",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "347C00000X",
"TaxonomyName": "Private Vehicle",
"LicenseNumber": "G620-730-55-254-0",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}