{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "IAN L PRITCHARD LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"FirstLineMailingAddress": "6170 RIDGEVIEW CT",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "RENO",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89519-6324",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "775-200-0626",
"MailingAddressFaxNumber": "775-825-8277",
"FirstLinePracticeLocationAddress": "1 E LIBERTY ST",
"SecondLinePracticeLocationAddress": "SUITE 600",
"PracticeLocationAddressCityName": "RENO",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89501-2110",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "775-525-0010",
"PracticeLocationAddressFaxNumber": "775-996-3287",
"EnumerationDate": "06/24/2015",
"LastUpdateDate": "09/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PRITCHARD",
"AuthorizedOfficialFirstName": "IAN",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER / MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PH.D.",
"AuthorizedOfficialTelephoneNumber": "775-200-0626",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "PY0657",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}