{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEALTH4U CLINICS LP",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3825 YUCCA AVE",
"SecondLineMailingAddress": "STE 129",
"MailingAddressCityName": "FT WORTH",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76111-6067",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-759-2273",
"MailingAddressFaxNumber": "817-759-2276",
"FirstLinePracticeLocationAddress": "3825 YUCCA AVE",
"SecondLinePracticeLocationAddress": "STE 129",
"PracticeLocationAddressCityName": "FT WORTH",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76111-6067",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-759-2273",
"PracticeLocationAddressFaxNumber": "817-759-2276",
"EnumerationDate": "09/17/2010",
"LastUpdateDate": "06/09/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOLBERT",
"AuthorizedOfficialFirstName": "APRIL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "WHNP",
"AuthorizedOfficialTelephoneNumber": "817-759-2273",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}