{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CYNTHIA CARMONA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7715 N HERMITAGE AVE",
"SecondLineMailingAddress": "2E",
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60626-1033",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-649-0636",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7715 N HERMITAGE AVE",
"SecondLinePracticeLocationAddress": "2E",
"PracticeLocationAddressCityName": "CHICAGO",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60626-1033",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-649-0636",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/07/2016",
"LastUpdateDate": "04/13/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARMONA",
"AuthorizedOfficialFirstName": "CYNTHIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "NP",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": "NP",
"AuthorizedOfficialTelephoneNumber": "630-649-0636",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QI0500X",
"TaxonomyName": "Infusion Therapy Clinic/Center",
"LicenseNumber": "209014818",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}