{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COTTON ORTHOTIC AND PROSTHETIC ASSOCIATES, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6311 W 110TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OVERLAND PARK",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66211-1509",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-338-2672",
"MailingAddressFaxNumber": "913-338-1776",
"FirstLinePracticeLocationAddress": "6311 W 110TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OVERLAND PARK",
"PracticeLocationAddressStateName": "KS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-338-2672",
"PracticeLocationAddressFaxNumber": "913-338-1776",
"EnumerationDate": "05/07/2012",
"LastUpdateDate": "06/12/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COTTON",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT/CPO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CPO",
"AuthorizedOfficialTelephoneNumber": "913-338-2672",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}