{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "NTCO LLC",
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"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
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"FirstLineMailingAddress": "PO BOX 790129",
"SecondLineMailingAddress": "DEPT 30738",
"MailingAddressCityName": "SAINT LOUIS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63179-0129",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-904-8975",
"MailingAddressFaxNumber": "918-517-3071",
"FirstLinePracticeLocationAddress": "2511 E 21ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TULSA",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74114-1705",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-904-8975",
"PracticeLocationAddressFaxNumber": "918-517-3071",
"EnumerationDate": "04/24/2012",
"LastUpdateDate": "12/03/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEURET",
"AuthorizedOfficialFirstName": "KEVIN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "636-600-1137",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}