{
"Npi": {
"NPI": "1013046507",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HAI V DANG M D INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 410",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTHAVEN",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38671-0005",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-349-3355",
"MailingAddressFaxNumber": "662-349-8815",
"FirstLinePracticeLocationAddress": "7640 CLARINGTON CV",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "SOUTHAVEN",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38671-5652",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-349-3355",
"PracticeLocationAddressFaxNumber": "662-349-8815",
"EnumerationDate": "03/02/2007",
"LastUpdateDate": "09/19/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DANG",
"AuthorizedOfficialFirstName": "HAI",
"AuthorizedOfficialMiddleName": "V.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "662-349-3355",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "13499",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}