{
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"IsOrgSubpart": "N",
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"OrgName": "TATE COUNTY EMS",
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "1101 SCOTT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SENATOBIA",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38668-2842",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-562-4013",
"MailingAddressFaxNumber": "662-562-5478",
"FirstLinePracticeLocationAddress": "1101 SCOTT ST",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-562-4013",
"PracticeLocationAddressFaxNumber": "662-562-5478",
"EnumerationDate": "09/14/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FOX",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "T",
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"AuthorizedOfficialTelephoneNumber": "662-562-4013",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": "133",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}