{
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"IsOrgSubpart": "N",
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"OrgName": "UNIVERSITY PRIMARY CARE PRACTICES INC",
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"FirstLineMailingAddress": "PO BOX 8792",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELFAST",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04915-8792",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-808-5950",
"MailingAddressFaxNumber": "440-250-0363",
"FirstLinePracticeLocationAddress": "29101 HEALTH CAMPUS DR BLDG 2 # 295",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTLAKE",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-808-5950",
"PracticeLocationAddressFaxNumber": "440-250-0363",
"EnumerationDate": "05/25/2007",
"LastUpdateDate": "04/14/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIDDLE",
"AuthorizedOfficialFirstName": "STEVE",
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"AuthorizedOfficialTitle": "DIRECTOR OF BILLING SERVICES",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "216-383-6480",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RE0101X",
"TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}