{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "GOPAL K BATRA M.D INC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "912 TEAKWOOD RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90049-1332",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-786-7100",
"MailingAddressFaxNumber": "310-472-4459",
"FirstLinePracticeLocationAddress": "912 TEAKWOOD RD",
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"PracticeLocationAddressCityName": "LOS ANGELES",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-786-7100",
"PracticeLocationAddressFaxNumber": "310-472-4459",
"EnumerationDate": "06/08/2010",
"LastUpdateDate": "06/11/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BATRA",
"AuthorizedOfficialFirstName": "GOPAL",
"AuthorizedOfficialMiddleName": "KRISHAN",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "M.D",
"AuthorizedOfficialTelephoneNumber": "310-786-7100",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RP1001X",
"TaxonomyName": "Pulmonary Disease Physician",
"LicenseNumber": "A29739",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}