{
  "npi": "1679858443",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MARYANN",
    "authorized_official_last_name": "MILLER",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2404946882",
    "authorized_official_title_or_position": "office manager",
    "enumeration_date": "2011-10-12",
    "last_updated": "2014-03-04",
    "organization_name": "ADDIS ALEM MEDICINE, PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
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    {
      "address_1": "16501 SHADY GROVE RD",
      "address_2": "7275",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GAITHERSBURG",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "202-403-0508",
      "postal_code": "208989201",
      "state": "MD",
      "telephone_number": "240-494-6882"
    },
    {
      "address_1": "7300 VAN DUSEN RD",
      "address_purpose": "LOCATION",
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      "city": "LAUREL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "202-403-0508",
      "postal_code": "207079463",
      "state": "MD",
      "telephone_number": "240-494-6882"
    }
  ],
  "taxonomies": [
    {
      "code": "207RI0200X",
      "desc": "Internal Medicine, Infectious Disease",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RC0200X",
      "desc": "Internal Medicine, Critical Care Medicine",
      "license": "D0069430",
      "primary": true,
      "state": "MD",
      "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": "Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      },
      {
        "medicare_code": "81",
        "medicare_type": "Physician/Critical Care (Intensivists)"
      }
    ]
  }
}