{
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"OrgName": "ESLITE EYECARE ASSOCIATES",
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"FirstLineMailingAddress": "1310 W CAMPBELL RD STE 130",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RICHARDSON",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-669-1760",
"MailingAddressFaxNumber": "972-669-3362",
"FirstLinePracticeLocationAddress": "1310 W CAMPBELL RD STE 130",
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"PracticeLocationAddressCityName": "RICHARDSON",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "972-669-3362",
"EnumerationDate": "04/25/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SUNG",
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"AuthorizedOfficialTitle": "OPTOMETRIST",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "972-669-1760",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152WC0802X",
"TaxonomyName": "Corneal and Contact Management Optometrist",
"LicenseNumber": "4719TG",
"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."
}
}
}
}