{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "PENELOPE H THRON-WEBER",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 643",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHEAT RIDGE",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80034-0643",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-985-8773",
"MailingAddressFaxNumber": "303-985-0827",
"FirstLinePracticeLocationAddress": "1370 S WADSWORTH BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKEWOOD",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80232-5439",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-985-8773",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/14/2012",
"LastUpdateDate": "09/14/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THRON-WEBER",
"AuthorizedOfficialFirstName": "PENELOPE",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "303-985-8773",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "26213",
"LicenseNumberStateCode": "CO",
"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."
}
}
}
}