{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "HEIKKI E KOSTAMAA MD PC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "341 COOL SPRINGS BLVD.",
"SecondLineMailingAddress": "STE. 400",
"MailingAddressCityName": "FRANKLIN",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37067",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-508-7337",
"MailingAddressFaxNumber": "423-508-7338",
"FirstLinePracticeLocationAddress": "28 WHITE BRIDGE PIKE",
"SecondLinePracticeLocationAddress": "STE. 208",
"PracticeLocationAddressCityName": "NASHVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37205",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-327-2001",
"PracticeLocationAddressFaxNumber": "615-327-2015",
"EnumerationDate": "07/10/2006",
"LastUpdateDate": "02/12/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KOSTAMAA",
"AuthorizedOfficialFirstName": "HEIKKI",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "615-327-2001",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "39604",
"LicenseNumberStateCode": "TN",
"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."
}
}
}
}