{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "JO FRAZER RN MS INC",
"LastName": null,
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"NameSuffix": null,
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"FirstLineMailingAddress": "3037 NW 63RD ST",
"SecondLineMailingAddress": "SUITE 153W",
"MailingAddressCityName": "OKLAHOMA CITY",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73116-3635",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-842-0634",
"MailingAddressFaxNumber": "405-842-4595",
"FirstLinePracticeLocationAddress": "3037 NW 63RD ST",
"SecondLinePracticeLocationAddress": "SUITE 153W",
"PracticeLocationAddressCityName": "OKLAHOMA CITY",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-842-0634",
"PracticeLocationAddressFaxNumber": "405-842-4595",
"EnumerationDate": "02/06/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRAZER",
"AuthorizedOfficialFirstName": "JO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRES",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN MS",
"AuthorizedOfficialTelephoneNumber": "405-842-0634",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "106H00000X",
"TaxonomyName": "Marriage & Family Therapist",
"LicenseNumber": "534",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}