{
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"IsOrgSubpart": "N",
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"OrgName": "BRIAN G MILLS, DPM INC",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "975 ST JOHN PLACE",
"SecondLineMailingAddress": "STE B",
"MailingAddressCityName": "HEMET",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92543",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "951-658-2256",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "975 SAINT JOHN PL",
"SecondLinePracticeLocationAddress": "STE B",
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"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressTelephoneNumber": "951-658-2256",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/02/2008",
"LastUpdateDate": "05/02/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLS",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "951-658-2256",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Podiatrist",
"LicenseNumber": "E4315",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}