{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SUSSEX PAIN SURGERY CENTER, LLC",
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"OtherCredential": null,
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"FirstLineMailingAddress": "18229 DUPONT BLVD",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19947-3127",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "17637 SHADY RD STE 105",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEWES",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19958-6248",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-313-1725",
"PracticeLocationAddressFaxNumber": "302-220-3636",
"EnumerationDate": "08/15/2026",
"LastUpdateDate": "08/15/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANTONY",
"AuthorizedOfficialFirstName": "MANONMANI",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "302-519-0100",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}