{
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"OrgName": "HARRIS ALLEN SHAMPAIN MD PA",
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"FirstLineMailingAddress": "2253 N UNIVERSITY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEMBROKE PINES",
"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2253 N UNIVERSITY DR",
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"PracticeLocationAddressCityName": "PEMBROKE PINES",
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"PracticeLocationAddressTelephoneNumber": "954-963-3003",
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"EnumerationDate": "07/08/2010",
"LastUpdateDate": "07/10/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHAMPAIN",
"AuthorizedOfficialFirstName": "HARRIS",
"AuthorizedOfficialMiddleName": "A.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "954-963-3003",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208200000X",
"TaxonomyName": "Plastic Surgery Physician",
"LicenseNumber": "ME42245",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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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."
}
}
}
}