{
"Npi": {
"NPI": "1932444320",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MICHAEL P GIROUARD, MD WEIGHT LOSS AND WELLNESS CLINIC, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "15806 BROOKWAY DR",
"SecondLineMailingAddress": "SUITE 400",
"MailingAddressCityName": "HUNTERSVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28078-3237",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-766-1000",
"MailingAddressFaxNumber": "704-766-1002",
"FirstLinePracticeLocationAddress": "15806 BROOKWAY DR",
"SecondLinePracticeLocationAddress": "SUITE 400",
"PracticeLocationAddressCityName": "HUNTERSVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28078-3237",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-766-1000",
"PracticeLocationAddressFaxNumber": "704-766-1002",
"EnumerationDate": "12/11/2012",
"LastUpdateDate": "12/11/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIROUARD",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "PAUL",
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "704-766-1000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "9900053",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}