{
  "npi": "1053379917",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "CRNA",
    "enumeration_date": "2006-05-02",
    "first_name": "MICHAEL",
    "last_name": "ANGELORO",
    "last_updated": "2011-05-30",
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    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
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    {
      "address_1": "1405 WINDWARD LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NICEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "325784343",
      "state": "FL",
      "telephone_number": "850-897-8978"
    },
    {
      "address_1": "995 MAR WALT DR",
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      "city": "FORT WALTON BEACH",
      "country_code": "US",
      "country_name": "United States",
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    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
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        "medicare_code": "43",
        "medicare_type": "Certified Registered Nurse Anesthetist (CRNA)"
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}