{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "DANIEL CAO TRUONG OD, PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"FirstLineMailingAddress": "8915 N ALLEN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEORIA",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61615-1534",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "309-693-9873",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8915 N ALLEN RD",
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"PracticeLocationAddressCityName": "PEORIA",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "309-693-9873",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/20/2009",
"LastUpdateDate": "10/20/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TRUONG",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": "CAO",
"AuthorizedOfficialTitle": "OPTOMETRIST",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "618-972-0753",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "046009742",
"LicenseNumberStateCode": "IL",
"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."
}
}
}
}