{
  "npi": "1780201145",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-06-25",
    "credential": "MD",
    "enumeration_date": "2020-07-01",
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    "middle_name": "MARIE",
    "name_prefix": "Dr.",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
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    {
      "address_1": "W3985 COUNTY ROAD NN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ELKHORN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "531214337",
      "state": "WI",
      "telephone_number": "262-741-2121"
    },
    {
      "address_1": "1009 W JUNEAU AVE APT 309",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MILWAUKEE",
      "country_code": "US",
      "country_name": "United States",
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      "telephone_number": "757-957-2060"
    }
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      "code": "208D00000X",
      "desc": "General Practice",
      "license": "T-4138",
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      "state": "MS",
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    },
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      "code": "207P00000X",
      "desc": "Emergency Medicine",
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      "state": "MS",
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    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
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      "taxonomy_group": ""
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    {
      "code": "208D00000X",
      "desc": "General Practice",
      "license": "0101274241",
      "primary": false,
      "state": "VA",
      "taxonomy_group": ""
    },
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": "10029-851",
      "primary": true,
      "state": "WI",
      "taxonomy_group": "193400000X - Single 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 Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      }
    ]
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}