{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ANBIJAY MEDICAL SUPPLY DME, L.L.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6004 N 36TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MCALLEN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78504-5048",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-668-9108",
"MailingAddressFaxNumber": "956-668-9108",
"FirstLinePracticeLocationAddress": "4129 N 22ND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MCALLEN",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-668-9108",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/28/2006",
"LastUpdateDate": "06/17/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GARCIA",
"AuthorizedOfficialFirstName": "JOSE",
"AuthorizedOfficialMiddleName": "ANTONIO",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "NONE",
"AuthorizedOfficialTelephoneNumber": "956-668-9108",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "NOT AVAILABLE",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}