{
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"EIN": null,
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"IsOrgSubpart": "Y",
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"ParentOrgTIN": null,
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"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "5005 LIVE OAK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENVILLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75402-6364",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "903-455-3500",
"MailingAddressFaxNumber": "903-455-3509",
"FirstLinePracticeLocationAddress": "5005 LIVE OAK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREENVILLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75402-6364",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "903-455-3500",
"PracticeLocationAddressFaxNumber": "903-455-3509",
"EnumerationDate": "10/06/2010",
"LastUpdateDate": "06/07/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RUSHING",
"AuthorizedOfficialFirstName": "GINA",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.O",
"AuthorizedOfficialTelephoneNumber": "903-455-3500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "K6283",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}