{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "TBYRD THERAPY SERVICES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2725 CANTRELL RD STE 106",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITTLE ROCK",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72202-2016",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "256-348-2811",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "131 BRECKENRIDGE LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MAUMELLE",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72113-5935",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "256-348-2811",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/13/2017",
"LastUpdateDate": "01/13/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BYRD",
"AuthorizedOfficialFirstName": "TARANIIO",
"AuthorizedOfficialMiddleName": "A",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "256-348-2811",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "6615-C",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}