{
"Npi": {
"NPI": "1962628925",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ABILITY ONE REHABILITATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "298 PEACH ORCHARD RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SENATOBIA",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38668-3841",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-292-0329",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "298 PEACH ORCHARD RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SENATOBIA",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38668-3841",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-292-0329",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/18/2007",
"LastUpdateDate": "12/18/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARPER",
"AuthorizedOfficialFirstName": "VICTORIA",
"AuthorizedOfficialMiddleName": "LYNN",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTD, OTRL",
"AuthorizedOfficialTelephoneNumber": "662-292-0329",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "OT1782",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}