{
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"OrgName": "THE JONES CLINIC, PC",
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"FirstLineMailingAddress": "PO BOX 1000",
"SecondLineMailingAddress": "DEPT 552",
"MailingAddressCityName": "MEMPHIS",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "38148-0001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "901-685-5969",
"MailingAddressFaxNumber": "901-685-6424",
"FirstLinePracticeLocationAddress": "506 AZALEA DR",
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"PracticeLocationAddressCityName": "OXFORD",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38655-8100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-513-4401",
"PracticeLocationAddressFaxNumber": "662-513-4414",
"EnumerationDate": "11/01/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
"AuthorizedOfficialFirstName": "CLYDE",
"AuthorizedOfficialMiddleName": "MICHEAL",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "901-685-5969",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}