{
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"IsOrgSubpart": "N",
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"OrgName": "PAULA K. BLACK, OTR",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "461 CRESTVIEW POINT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEWISVILLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75067-8349",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-995-4250",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "461 CRESTVIEW POINT DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEWISVILLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75067-8349",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-995-4250",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/27/2013",
"LastUpdateDate": "11/27/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLACK",
"AuthorizedOfficialFirstName": "PAULA",
"AuthorizedOfficialMiddleName": "KATHEEINE",
"AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST, REGISTERED",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OTR",
"AuthorizedOfficialTelephoneNumber": "214-995-4250",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225X00000X",
"TaxonomyName": "Occupational Therapist",
"LicenseNumber": "109660",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}