{
  "npi": "1184938003",
  "enumeration_type": "NPI-2",
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    "authorized_official_first_name": "LISA",
    "authorized_official_last_name": "MCCANN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8042101555",
    "authorized_official_title_or_position": "President, OT",
    "enumeration_date": "2010-08-03",
    "last_updated": "2010-09-09",
    "organization_name": "BAYSIDE CHILDREN'S THERAPY NETWORK, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
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    {
      "address_1": "PO BOX 130",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GLOUCESTER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "230610130",
      "state": "VA",
      "telephone_number": "804-210-1555"
    },
    {
      "address_1": "6688 MAIN ST",
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      "address_type": "DOM",
      "city": "GLOUCESTER",
      "country_code": "US",
      "country_name": "United States",
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  "taxonomies": [
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
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      "primary": false,
      "state": "VA",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "2251P0200X",
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      "license": "2305000705",
      "primary": false,
      "state": "VA",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "225XP0200X",
      "desc": "Occupational Therapist, Pediatrics",
      "license": "0119004244",
      "primary": true,
      "state": "VA",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    }
  ],
  "compliance": {
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      "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": "Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "67",
        "medicare_type": "Occupational Therapist in Private Practice"
      }
    ]
  }
}