{"npi":"1003559675","type":"NPI-2","status":"active","name":{"display":"Panacea Portal LLC","other":[],"organization_name":"PANACEA PORTAL LLC","authorised_official":"Brian Rouse"},"specialty":{"primary_taxonomy":"171W00000X","primary_taxonomy_description":"Contractor","slug":"contractor","schema_org_specialty":null,"all":[{"code":"171W00000X","description":"Contractor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6457 HICKORY LN","city":"BURTON","state":"MI","postal_code":"485099303","country_code":"US","phone":"2485094774"},{"purpose":"MAILING","street_1":"6457 HICKORY LN","city":"BURTON","state":"MI","postal_code":"485099303","country_code":"US","phone":"2485094774"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-04-20","last_updated":"2022-04-20","_meta":{"source":"NPPES","snapshot_date":"2022-04-20","doc_url":"https://findmynpi.com/api"}}