{
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"EIN": null,
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"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
"OrgName": "BSA AMARILLO DIAGNOSTIC CLINIC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6700 W 9TH AVE STE C",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AMARILLO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79106-1729",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "806-356-5533",
"MailingAddressFaxNumber": "806-467-8651",
"FirstLinePracticeLocationAddress": "6700 W 9TH AVE STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AMARILLO",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "806-356-5533",
"PracticeLocationAddressFaxNumber": "806-467-8651",
"EnumerationDate": "02/06/2017",
"LastUpdateDate": "02/07/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORRISON",
"AuthorizedOfficialFirstName": "AMANDA",
"AuthorizedOfficialMiddleName": "L",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "806-358-0331",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0002X",
"TaxonomyName": "Clinic Pharmacy",
"LicenseNumber": "29430",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}