{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "LOUIS J PROCHNICKI, M.D. , P.C.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "1121 S GILBERT RD",
"SecondLineMailingAddress": "102",
"MailingAddressCityName": "MESA",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85204-5235",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-632-7707",
"MailingAddressFaxNumber": "480-926-1600",
"FirstLinePracticeLocationAddress": "1121 S GILBERT RD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-632-7707",
"PracticeLocationAddressFaxNumber": "480-926-1600",
"EnumerationDate": "03/11/2010",
"LastUpdateDate": "03/11/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PROCHNICKI",
"AuthorizedOfficialFirstName": "LOUIS",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT/CEO",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "480-632-7707",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207V00000X",
"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "13402",
"LicenseNumberStateCode": "AZ",
"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."
}
}
}
}