{
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"OrgName": "OH-LABS LLC",
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"FirstLineMailingAddress": "PO BOX 191089",
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"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75219-8089",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-717-4683",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3521 OAK LAWN AVE",
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"PracticeLocationAddressFaxNumber": "484-970-6356",
"EnumerationDate": "06/25/2008",
"LastUpdateDate": "06/25/2008",
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"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CLAIR",
"AuthorizedOfficialFirstName": "DARREN",
"AuthorizedOfficialMiddleName": "F",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Anesthesiology Physician",
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"LicenseNumberStateCode": "CA",
"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."
}
}
}
}