{
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"IsOrgSubpart": "N",
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"OrgName": "SKS SURGICAL GROUP PA",
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"MiddleName": null,
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"FirstLineMailingAddress": "23960 KATY FWY",
"SecondLineMailingAddress": "SUITE 130",
"MailingAddressCityName": "KATY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77494-1339",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-347-0088",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "23960 KATY FWY",
"SecondLinePracticeLocationAddress": "SUITE 130",
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"PracticeLocationAddressStateName": "TX",
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"EnumerationDate": "07/10/2007",
"LastUpdateDate": "12/14/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KHOURY",
"AuthorizedOfficialFirstName": "SAMMY",
"AuthorizedOfficialMiddleName": "E",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "281-347-0088",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "M1827",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}