{
"Npi": {
"NPI": "1992787006",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DAVID GENT & ASSOCIATES PS",
"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": "900 SHERIDAN RD",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "BREMERTON",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98310-2701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-377-2233",
"MailingAddressFaxNumber": "360-377-9131",
"FirstLinePracticeLocationAddress": "900 SHERIDAN RD",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "BREMERTON",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98310-2701",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-377-2233",
"PracticeLocationAddressFaxNumber": "360-377-9131",
"EnumerationDate": "11/15/2005",
"LastUpdateDate": "12/17/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GENT",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "MONROE",
"AuthorizedOfficialTitle": "PRESIDENT/DOCTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.P.M.",
"AuthorizedOfficialTelephoneNumber": "360-377-2233",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "PO00000724",
"LicenseNumberStateCode": "WA",
"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."
}
}
}
}