{
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"OrgName": "JAD MANAGMENT INC",
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"FirstLineMailingAddress": "7109 ANDOVER CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROWLETT",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75089-2093",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-766-8434",
"MailingAddressFaxNumber": "469-442-0622",
"FirstLinePracticeLocationAddress": "8035 E RL THRTN FWY",
"SecondLinePracticeLocationAddress": "SUITE 233",
"PracticeLocationAddressCityName": "DALLAS",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-321-4210",
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"EnumerationDate": "09/23/2011",
"LastUpdateDate": "09/23/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DECANINI",
"AuthorizedOfficialFirstName": "DIANA",
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"AuthorizedOfficialTitle": "CAO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "469-766-8434",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}