{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROBBERSON HEARING DBA HEAR TECH HEARING CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "414 E LOOP 281",
"SecondLineMailingAddress": "SUITE #4",
"MailingAddressCityName": "LONGVIEW",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75605-7930",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "903-753-4494",
"MailingAddressFaxNumber": "903-753-6585",
"FirstLinePracticeLocationAddress": "414 E LOOP 281",
"SecondLinePracticeLocationAddress": "SUITE #4",
"PracticeLocationAddressCityName": "LONGVIEW",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75605-7930",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "903-753-4494",
"PracticeLocationAddressFaxNumber": "903-753-6585",
"EnumerationDate": "05/21/2007",
"LastUpdateDate": "06/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROBBERSON",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": "WRIGHT",
"AuthorizedOfficialTitle": "AUDIOPROSTHOLOGIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "B.A.,A.C.A, H.I.S.",
"AuthorizedOfficialTelephoneNumber": "903-753-4494",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "237700000X",
"TaxonomyName": "Hearing Instrument Specialist",
"LicenseNumber": "50181",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}