{
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"IsOrgSubpart": "N",
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"OrgName": "ESSENTIAL FOOT AND ANKLE CARE, INC",
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"FirstLineMailingAddress": "5145 ROSEWOOD PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FAIRBURN",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30213-5110",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "470-333-8855",
"MailingAddressFaxNumber": "866-516-2755",
"FirstLinePracticeLocationAddress": "285 BOULEVARD NE",
"SecondLinePracticeLocationAddress": "SUITE 525",
"PracticeLocationAddressCityName": "ATLANTA",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressTelephoneNumber": "470-333-8855",
"PracticeLocationAddressFaxNumber": "866-516-2755",
"EnumerationDate": "09/25/2014",
"LastUpdateDate": "09/25/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WATSON",
"AuthorizedOfficialFirstName": "JEANE",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "470-333-8855",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "POD001066",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}