{"npi":"1710945977","type":"NPI-1","status":"active","name":{"display":"Haden Boliek Mscccslp","other":[],"first":"HADEN","last":"BOLIEK","credential":"MSCCCSLP"},"specialty":{"primary_taxonomy":"235Z00000X","primary_taxonomy_description":"Speech-Language Pathology","slug":"speech-language-pathology","schema_org_specialty":"Speech","all":[{"code":"235Z00000X","description":"Speech-Language Pathology","primary":true,"state":"NC","license":"3435"}]},"addresses":[{"purpose":"LOCATION","street_1":"1289 OLIVER ST","city":"FAYETTEVILLE","state":"NC","postal_code":"283044450","country_code":"US","phone":"9104838331","fax":"9104838335"},{"purpose":"MAILING","street_1":"PO BOX 87294","city":"FAYETTEVILLE","state":"NC","postal_code":"283047294","country_code":"US","phone":"9104838331","fax":"9104838335"}],"license":{"state":"NC","number":"3435"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7411124","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-03","last_updated":"2016-08-30","_meta":{"source":"NPPES","snapshot_date":"2016-08-30","doc_url":"https://findmynpi.com/api"}}