{
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  "enumeration_type": "NPI-2",
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    "authorized_official_first_name": "LUCINDA",
    "authorized_official_last_name": "BUSCH",
    "authorized_official_middle_name": "B",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_telephone_number": "7657565014",
    "authorized_official_title_or_position": "Sr. Administrative Specialist",
    "certification_date": "2023-12-19",
    "enumeration_date": "2021-04-29",
    "last_updated": "2023-12-19",
    "organization_name": "3D PROSTHETICS, LLC",
    "organizational_subpart": "NO",
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    {
      "address_1": "2011 CHESTER BLVD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
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      "country_code": "US",
      "country_name": "United States",
      "postal_code": "473741214",
      "state": "IN",
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    },
    {
      "address_1": "2011 CHESTER BLVD",
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    }
  ],
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      "code": "335E00000X",
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      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "224P00000X",
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      "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 Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "56",
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      },
      {
        "medicare_code": "57",
        "medicare_type": "Individual Certified Prosthetist-Orthotist"
      },
      {
        "medicare_code": "B2",
        "medicare_type": "Pedorthic personnel"
      }
    ]
  }
}