{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "HARESH K. AJMERA M.D. INC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "2325 S HARVARD AVE STE 301",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TULSA",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74114-3307",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-744-8115",
"MailingAddressFaxNumber": "918-744-8117",
"FirstLinePracticeLocationAddress": "2325 S HARVARD AVE STE 301",
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"PracticeLocationAddressCityName": "TULSA",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-744-8115",
"PracticeLocationAddressFaxNumber": "918-744-8117",
"EnumerationDate": "01/28/2008",
"LastUpdateDate": "01/28/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AJMERA",
"AuthorizedOfficialFirstName": "HARESH",
"AuthorizedOfficialMiddleName": "K.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "918-744-8115",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "10644",
"LicenseNumberStateCode": "OK",
"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."
}
}
}
}