{
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"IsOrgSubpart": "N",
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"OrgName": "PARA SURGICAL SPECIALISTS, PLLC",
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"FirstLineMailingAddress": "9515 W. CAMELBACK RD",
"SecondLineMailingAddress": "SUITE 132",
"MailingAddressCityName": "PHOENIX",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85037-0000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "623-247-4900",
"MailingAddressFaxNumber": "623-247-4908",
"FirstLinePracticeLocationAddress": "9515 W. CAMELBACK RD",
"SecondLinePracticeLocationAddress": "SUITE 132",
"PracticeLocationAddressCityName": "PHOENIX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "623-247-4900",
"PracticeLocationAddressFaxNumber": "623-247-4908",
"EnumerationDate": "05/19/2011",
"LastUpdateDate": "03/19/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARA",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": "JOHN",
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"AuthorizedOfficialCredential": "MD, FACS",
"AuthorizedOfficialTelephoneNumber": "623-247-4900",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "022450",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}