{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE UROLOGY CLINIC LTD",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"FirstLineMailingAddress": "6114 N NAUNI VALLEY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PARADISE VALLEY",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85253-5162",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "623-974-3621",
"MailingAddressFaxNumber": "480-596-6860",
"FirstLinePracticeLocationAddress": "10503 W THUNDERBIRD BLVD",
"SecondLinePracticeLocationAddress": "SUITE 317",
"PracticeLocationAddressCityName": "SUN CITY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85351",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "623-974-3621",
"PracticeLocationAddressFaxNumber": "480-596-6860",
"EnumerationDate": "06/27/2007",
"LastUpdateDate": "07/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STERN",
"AuthorizedOfficialFirstName": "BARRY",
"AuthorizedOfficialMiddleName": "L",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "623-974-3621",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "05046",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}