{
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"IsOrgSubpart": "N",
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"OrgName": "COASTAL HEARING CENTER, LLC",
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"MiddleName": null,
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"FirstLineMailingAddress": "356 FAIRVIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BILOXI",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39531-2604",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "228-669-9806",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "970 TOMMY MUNRO DR STE A",
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"PracticeLocationAddressCityName": "BILOXI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "228-669-9806",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/06/2013",
"LastUpdateDate": "08/06/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SLATER",
"AuthorizedOfficialFirstName": "KAREN",
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"AuthorizedOfficialCredential": "AU.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Hearing and Speech Clinic/Center",
"LicenseNumber": "A0786",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}