{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "MICHELE & RICHARD JAMISON, M.D.'S, P.C.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherOrgNameTypeCode": "6",
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"FirstLineMailingAddress": "90 ERIE CANAL DR",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "ROCHESTER",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14626-4601",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "585-225-5883",
"MailingAddressFaxNumber": "585-225-8902",
"FirstLinePracticeLocationAddress": "90 ERIE CANAL DR",
"SecondLinePracticeLocationAddress": "SUITE A",
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"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "585-225-5883",
"PracticeLocationAddressFaxNumber": "585-225-8902",
"EnumerationDate": "07/29/2006",
"LastUpdateDate": "01/11/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JAMISON",
"AuthorizedOfficialFirstName": "MICHELE",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "585-225-5883",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "201772",
"LicenseNumberStateCode": "NY",
"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."
}
}
}
}