{
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"EIN": null,
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"ParentOrgLBN": null,
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"OrgName": "OXFORD UNIVERSITY EYECARE PLLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2708 W OXFORD LOOP STE 110",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OXFORD",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38655-5724",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-380-5041",
"MailingAddressFaxNumber": "662-380-5042",
"FirstLinePracticeLocationAddress": "2708 W OXFORD LOOP",
"SecondLinePracticeLocationAddress": "110",
"PracticeLocationAddressCityName": "OXFORD",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38655-5714",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-213-3937",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/09/2015",
"LastUpdateDate": "11/09/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RANDLE",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "662-213-3937",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "687",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}