{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CRYSTAL CITY ISD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "805 E CROCKETT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CRYSTAL CITY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78839-2711",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "830-374-2341",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "805 E CROCKETT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CRYSTAL CITY",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "830-374-2341",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/04/2015",
"LastUpdateDate": "11/04/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RODRIGUEZ",
"AuthorizedOfficialFirstName": "ANDRES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ATHLETIC TRAINER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "LAT",
"AuthorizedOfficialTelephoneNumber": "830-374-2341",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS1000X",
"TaxonomyName": "Student Health Clinic/Center",
"LicenseNumber": "AT5507",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}