{
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"IsOrgSubpart": "N",
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"OrgName": "COMPASSIONATE CARE AND WELLNESS, PLLC",
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"MiddleName": null,
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"FirstLineMailingAddress": "16722 HIGHWAY 62 W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EUREKA SPRINGS",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72632-3100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-760-7607",
"MailingAddressFaxNumber": "208-216-1291",
"FirstLinePracticeLocationAddress": "2 HALSTED CIR",
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"PracticeLocationAddressCityName": "ROGERS",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72756",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "479-721-4414",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/30/2018",
"LastUpdateDate": "07/11/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLIAMS",
"AuthorizedOfficialFirstName": "JANICE",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER/MANAGER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "479-721-4414",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "MC-3303",
"LicenseNumberStateCode": "AR",
"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."
}
}
}
}