{
  "npi": "1528477049",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "STEPHEN",
    "authorized_official_last_name": "PAGE",
    "authorized_official_middle_name": "L",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6158449800",
    "authorized_official_title_or_position": "Vice President",
    "enumeration_date": "2014-08-08",
    "last_updated": "2014-08-08",
    "organization_name": "ESSENT HEALTHCARE OF CONNECTICUT INC",
    "organizational_subpart": "NO",
    "status": "A"
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    {
      "address_1": "103 CONTINENTAL PL",
      "address_2": "SUITE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BRENTWOOD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "615-844-9883",
      "postal_code": "370271041",
      "state": "TN",
      "telephone_number": "615-844-9800"
    },
    {
      "address_1": "50 HOSPITAL ROAD",
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      "address_type": "DOM",
      "city": "SHARON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "060692096",
      "state": "CT",
      "telephone_number": "860-364-4040"
    }
  ],
  "taxonomies": [
    {
      "code": "207ZP0101X",
      "desc": "Pathology, Anatomic Pathology",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "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 Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "22",
        "medicare_type": "Physician/Pathology"
      }
    ]
  }
}