{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
"OrgName": "STEVEN K. SHOEMAKER, DPM AND ASSOCIATES, INC.",
"LastName": null,
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"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
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"FirstLineMailingAddress": "1421 SECRET RAVINE PKWY",
"SecondLineMailingAddress": "SUITE 111",
"MailingAddressCityName": "ROSEVILLE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95661-6045",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-781-3223",
"MailingAddressFaxNumber": "916-781-8174",
"FirstLinePracticeLocationAddress": "1421 SECRET RAVINE PKWY",
"SecondLinePracticeLocationAddress": "SUITE 111",
"PracticeLocationAddressCityName": "ROSEVILLE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95661-6045",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "916-781-3223",
"PracticeLocationAddressFaxNumber": "916-781-8174",
"EnumerationDate": "10/16/2007",
"LastUpdateDate": "04/09/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHOEMAKER",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "916-781-3223",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP1100X",
"TaxonomyName": "Podiatric Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}