{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ELM PLACE AMBULATORY SURGICAL CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2217 S DANVILLE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ABILENE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79605-4719",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "325-695-0600",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2217 S DANVILLE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ABILENE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79605-4719",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "325-695-0600",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/23/2006",
"LastUpdateDate": "07/16/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KING",
"AuthorizedOfficialFirstName": "AUSTIN",
"AuthorizedOfficialMiddleName": "I",
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"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "325-695-0600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "0166",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}