{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "NEONATAL CONSULTANTS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7288 MOSS CREEK CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIVERPOOL",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13090-3784",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "315-453-7289",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "301 PROSPECT AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SYRACUSE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13203-1807",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "315-448-5861",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/17/2006",
"LastUpdateDate": "12/24/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NICKELS",
"AuthorizedOfficialFirstName": "MARJORIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "BILLING SECRETARY",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "315-453-7289",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "139251-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}