{
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"OrgName": "LEXCARE CLINIC INC",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 118",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEXINGTON",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "38351-0118",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "731-967-8813",
"MailingAddressFaxNumber": "731-967-8815",
"FirstLinePracticeLocationAddress": "1560 N BROAD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LEXINGTON",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "38351-4765",
"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "731-967-8815",
"EnumerationDate": "01/23/2007",
"LastUpdateDate": "11/09/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DORRIS",
"AuthorizedOfficialFirstName": "CATHY",
"AuthorizedOfficialMiddleName": "ELIZABETH",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FNP",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "APN10647",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}