{
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"EIN": null,
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"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
"OrgName": "URGENT CARE CENTERS, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "827 BEAVER CREEK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DUBLIN",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31027-2361",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "478-278-2845",
"MailingAddressFaxNumber": "478-275-9874",
"FirstLinePracticeLocationAddress": "18213 VIRGINIA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BOYKINS",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23827-2744",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "757-654-0244",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/21/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TIBITTS",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "R",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CRT,RVT",
"AuthorizedOfficialTelephoneNumber": "478-278-2845",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}