{
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"EIN": null,
"IsSoleProprietor": "N",
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"LastName": "PORTER",
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"OtherOrgName": null,
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"OtherLastName": "PORTER",
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"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "3600 GASTON AVE",
"SecondLineMailingAddress": "SUITE 1205",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75246-1800",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-692-8262",
"MailingAddressFaxNumber": "214-696-4190",
"FirstLinePracticeLocationAddress": "8230 WALNUT HILL LN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-691-1902",
"PracticeLocationAddressFaxNumber": "214-987-1845",
"EnumerationDate": "05/27/2006",
"LastUpdateDate": "01/31/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Urology Physician",
"LicenseNumber": "L8894",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}