{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEARING ASSOCIATES PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "250 S CRESCENT DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MASON CITY",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "50401-2926",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "641-494-5180",
"MailingAddressFaxNumber": "641-494-5185",
"FirstLinePracticeLocationAddress": "250 S CRESCENT DR STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MASON CITY",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50401-2910",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "641-494-5180",
"PracticeLocationAddressFaxNumber": "641-494-5185",
"EnumerationDate": "02/20/2007",
"LastUpdateDate": "06/04/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TREMBATH",
"AuthorizedOfficialFirstName": "STUART",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MA",
"AuthorizedOfficialTelephoneNumber": "641-494-5180",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "237600000X",
"TaxonomyName": "Audiologist-Hearing Aid Fitter",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}