{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "METRO URGENT CARE PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 123",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EASTWOOD",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40018-0123",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-797-7861",
"MailingAddressFaxNumber": "502-587-0394",
"FirstLinePracticeLocationAddress": "3506 BARDSTOWN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOUISVILLE",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "40218",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "502-797-7861",
"PracticeLocationAddressFaxNumber": "502-587-0390",
"EnumerationDate": "07/29/2014",
"LastUpdateDate": "07/29/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAQ",
"AuthorizedOfficialFirstName": "AKASHA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "502-797-7861",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": "33462",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "261QU0200X",
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"LicenseNumber": "32576",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}