{
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"OrgName": "EMERGENCY CARE SPECIALISTS PC",
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"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "440 CRESCENT ST NE APT 5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRAND RAPIDS",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49503-3370",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "269-998-5992",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4100 EMBASSY DR SE STE 201",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GRAND RAPIDS",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49546-2416",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "616-988-8220",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/22/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROGERS",
"AuthorizedOfficialFirstName": "RALPH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "616-988-8221",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NC0060X",
"TaxonomyName": "Critical Access Hospital",
"LicenseNumber": "5601004845",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}