{
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"EIN": null,
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"OrgName": "BRUCE KRUGER, P.C.",
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"FirstLineMailingAddress": "5450 BEE CAVE RD",
"SecondLineMailingAddress": "SUITE # 5-B",
"MailingAddressCityName": "WEST LAKE HILLS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78746-5244",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-327-4827",
"MailingAddressFaxNumber": "512-327-2026",
"FirstLinePracticeLocationAddress": "5450 BEE CAVE RD",
"SecondLinePracticeLocationAddress": "SUITE # 5-B",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "512-327-4827",
"PracticeLocationAddressFaxNumber": "512-327-2026",
"EnumerationDate": "03/12/2007",
"LastUpdateDate": "09/21/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KRUGER",
"AuthorizedOfficialFirstName": "BRUCE",
"AuthorizedOfficialMiddleName": "D",
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"AuthorizedOfficialCredential": "PH.D.",
"AuthorizedOfficialTelephoneNumber": "512-327-4827",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": "2-1247",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}