{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "NEW VISION OPTICAL -WISE LLC",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "PO BOX 3100",
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"MailingAddressCityName": "WISE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24293-3100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "135 WISE COUNTY PLAZA",
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"PracticeLocationAddressCityName": "WISE",
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"PracticeLocationAddressTelephoneNumber": "276-679-5610",
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"EnumerationDate": "09/11/2008",
"LastUpdateDate": "09/12/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NORTON",
"AuthorizedOfficialFirstName": "RICK",
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"AuthorizedOfficialTitle": "OPTICIAN",
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"AuthorizedOfficialTelephoneNumber": "276-679-5610",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "1101001242",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}