{
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"OrgName": "ROBBINS PLASTIC SURGERY, PLC",
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"FirstLineMailingAddress": "2201 MURPHY AVE",
"SecondLineMailingAddress": "STE 407",
"MailingAddressCityName": "NASHVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37203-1835",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-401-9454",
"MailingAddressFaxNumber": "615-873-1934",
"FirstLinePracticeLocationAddress": "2201 MURPHY AVE",
"SecondLinePracticeLocationAddress": "STE 407",
"PracticeLocationAddressCityName": "NASHVILLE",
"PracticeLocationAddressStateName": "TN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-401-9454",
"PracticeLocationAddressFaxNumber": "615-873-1934",
"EnumerationDate": "09/24/2012",
"LastUpdateDate": "04/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROBBINS",
"AuthorizedOfficialFirstName": "CHADWELL",
"AuthorizedOfficialMiddleName": "M.",
"AuthorizedOfficialTitle": "OWNER/MEDICAL DOCTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "615-401-6454",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208200000X",
"TaxonomyName": "Plastic Surgery Physician",
"LicenseNumber": "45934",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}