{
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"OrgName": "ASPEN EYE CENTER, LLC",
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"FirstLineMailingAddress": "600 S SAINT VRAIN AVE",
"SecondLineMailingAddress": "#5",
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"MailingAddressStateName": "CO",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "970-586-4418",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "600 S SAINT VRAIN AVE",
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"PracticeLocationAddressTelephoneNumber": "970-586-4418",
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"EnumerationDate": "03/14/2008",
"LastUpdateDate": "10/30/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARKER",
"AuthorizedOfficialFirstName": "LONGLEY",
"AuthorizedOfficialMiddleName": "LYNN",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "970-586-4418",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Optometrist",
"LicenseNumber": "CO2195",
"LicenseNumberStateCode": "CO",
"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."
}
}
}
}