{
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  "enumeration_type": "NPI-1",
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    "credential": "PA",
    "enumeration_date": "2021-02-13",
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    "last_updated": "2026-02-06",
    "sex": "M",
    "sole_proprietor": "NO",
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      "address_1": "9010 W CHEYENNE AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LAS VEGAS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "891298932",
      "state": "NV",
      "telephone_number": "702-240-8646"
    },
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      "address_purpose": "MAILING",
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      "code": "363A00000X",
      "desc": "Physician Assistant",
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      "primary": false,
      "state": "UT",
      "taxonomy_group": ""
    },
    {
      "code": "363A00000X",
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      "license": "PA2376",
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      "state": "NV",
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    }
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      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1508459231",
      "LAST_NAME": "ANDERSON",
      "FIRST_NAME": "KYLE",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
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    "total_beneficiaries": "209",
    "total_services": "758",
    "total_medicare_allowed_amt": "55134.21",
    "top_hcpcs_services": [
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        "code": "96116",
        "description": "Exam of neurobehavioral status, first hour",
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        "beneficiaries": "39"
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      {
        "code": "99213",
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        "services": "231",
        "beneficiaries": "146"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "139",
        "beneficiaries": "96"
      },
      {
        "code": "99497",
        "description": "Advance care planning, first 30 minutes",
        "services": "69",
        "beneficiaries": "68"
      },
      {
        "code": "G0439",
        "description": "Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit",
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        "beneficiaries": "65"
      },
      {
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        "beneficiaries": "43"
      },
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        "description": "Annual depression screening, 5 to 15 minutes",
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        "beneficiaries": "41"
      }
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    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
    ]
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}