{
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"OrgName": "EMILE MATHURIN, JR., M.D., P.A.,",
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"FirstLineMailingAddress": "PO BOX 5352",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KINGWOOD",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77325-5352",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-446-4429",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9810 FM-1960 BYPASS RD W",
"SecondLinePracticeLocationAddress": "SUITE 115",
"PracticeLocationAddressCityName": "HUMBLE",
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"EnumerationDate": "03/16/2007",
"LastUpdateDate": "11/10/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MATHURIN",
"AuthorizedOfficialFirstName": "EMILE",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Medicine & Rehabilitation Physician",
"LicenseNumber": "J4907",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}