{
"Npi": {
"NPI": "1013083906",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PAULS VALLEY GENERAL HOSPITAL",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "918 E 7TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SULPHUR",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73086-5023",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-622-2255",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "100 VALLEY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PAULS VALLEY",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73075-6613",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-238-5501",
"PracticeLocationAddressFaxNumber": "405-238-9261",
"EnumerationDate": "11/24/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSTON",
"AuthorizedOfficialFirstName": "CHARLES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "405-238-5501",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282N00000X",
"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": "224778",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}