{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "NIYUS DIAGNOSTICS CENTER INC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6200 JOHNSON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOLLYWOOD",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33024-5932",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-607-0107",
"MailingAddressFaxNumber": "954-607-0108",
"FirstLinePracticeLocationAddress": "6200 JOHNSON ST",
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"PracticeLocationAddressCityName": "HOLLYWOOD",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-607-0107",
"PracticeLocationAddressFaxNumber": "954-607-0108",
"EnumerationDate": "03/22/2016",
"LastUpdateDate": "03/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CORREA",
"AuthorizedOfficialFirstName": "JUAN",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "954-607-0107",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0200X",
"TaxonomyName": "Radiology Clinic/Center",
"LicenseNumber": "CRT73408",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}