{
"Npi": {
"NPI": "1972842524",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LAKE AREA EMERGENCY CENTER LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "18057 HIGHWAY 105 W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MONTGOMERY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77356-5985",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-838-0800",
"MailingAddressFaxNumber": "713-838-0887",
"FirstLinePracticeLocationAddress": "18057 HIGHWAY 105 W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MONTGOMERY",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77356-5985",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-838-0800",
"PracticeLocationAddressFaxNumber": "713-838-0887",
"EnumerationDate": "02/01/2013",
"LastUpdateDate": "02/01/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KERCHNER",
"AuthorizedOfficialFirstName": "TAMMY",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "PRICESS IMPROVEMENT MANAGER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "713-838-0800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QE0002X",
"TaxonomyName": "Emergency Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}