{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SYDNEY BURCHFIELD, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "580 FAIRVIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BERWICK",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70342-2066",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "985-518-6953",
"MailingAddressFaxNumber": "225-307-1087",
"FirstLinePracticeLocationAddress": "609 BRASHEAR AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MORGAN CITY",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70380-3203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "985-300-6123",
"PracticeLocationAddressFaxNumber": "225-307-1087",
"EnumerationDate": "03/18/2024",
"LastUpdateDate": "01/16/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURCHFIELD",
"AuthorizedOfficialFirstName": "SYDNEY",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OWNER, NP",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "985-518-6953",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207P00000X",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}