{
"Npi": {
"NPI": "1942296975",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROSIE'S COMFORT SHOES, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "327 MILL ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DANVILLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17821-1901",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-271-1902",
"MailingAddressFaxNumber": "570-271-1923",
"FirstLinePracticeLocationAddress": "327 MILL ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DANVILLE",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-271-1902",
"PracticeLocationAddressFaxNumber": "570-271-1923",
"EnumerationDate": "09/26/2005",
"LastUpdateDate": "03/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RUTH",
"AuthorizedOfficialFirstName": "ANGELINA",
"AuthorizedOfficialMiddleName": "M.",
"AuthorizedOfficialTitle": "OWNER/CPED",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "570-271-1902",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "80329719",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}