{
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"NPI": "1427560077",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SECD SPRING HILL MOBILE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4320 MONTEVALLO RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNTAIN BRK",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35213-2722",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-434-7115",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "615 SHADY OAK DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOBILE",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36608-5830",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "251-334-0364",
"PracticeLocationAddressFaxNumber": "251-341-1787",
"EnumerationDate": "11/03/2017",
"LastUpdateDate": "11/03/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCDONALD",
"AuthorizedOfficialFirstName": "HEATHER",
"AuthorizedOfficialMiddleName": "BRITTANY",
"AuthorizedOfficialTitle": "REGIONAL DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "205-434-7115",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}