{
  "npi": "1417460833",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "Physician Assistant",
    "enumeration_date": "2017-11-07",
    "first_name": "WANDA",
    "last_name": "CIULLA",
    "last_updated": "2017-11-07",
    "middle_name": "SANTOS",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
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    {
      "address_1": "509 S MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PARIS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "619442325",
      "state": "IL",
      "telephone_number": "217-465-8053"
    },
    {
      "address_1": "10027 INDIAN BOUNDARY ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PARIS",
      "country_code": "US",
      "country_name": "United States",
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      "code": "208D00000X",
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      "state": "NY",
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    {
      "code": "2083P0500X",
      "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
      "license": "085000243",
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    {
      "code": "363AM0700X",
      "desc": "Physician Assistant, Medical",
      "license": "085000243",
      "primary": false,
      "state": "IL",
      "taxonomy_group": ""
    },
    {
      "code": "363AM0700X",
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  ],
  "compliance": {
    "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 — Physician Assistant, Medical",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
    ]
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}