{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SHLYAKHOV SMILEY OPTOMETRISTS, INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "701 HOWE AVE STE G48",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SACRAMENTO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95825-4604",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-921-8080",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "701 HOWE AVE STE G48",
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"PracticeLocationAddressCityName": "SACRAMENTO",
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"PracticeLocationAddressTelephoneNumber": "916-921-8080",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/21/2006",
"LastUpdateDate": "08/12/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMILEY",
"AuthorizedOfficialFirstName": "THOMAS",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "916-921-8080",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "7061T",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}