{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "BRANDON T ARMSTRONG OD PC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "2020 S. S.R 135",
"SecondLineMailingAddress": "300",
"MailingAddressCityName": "GREENWOOD",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46143-2385",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-887-2800",
"MailingAddressFaxNumber": "317-300-0078",
"FirstLinePracticeLocationAddress": "2020 S STATE ROAD 135 STE 300",
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"PracticeLocationAddressCityName": "GREENWOOD",
"PracticeLocationAddressStateName": "IN",
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"PracticeLocationAddressTelephoneNumber": "317-887-2800",
"PracticeLocationAddressFaxNumber": "317-300-0078",
"EnumerationDate": "07/11/2017",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ARMSTRONG",
"AuthorizedOfficialFirstName": "BRANDON",
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"AuthorizedOfficialTitle": "OD",
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"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "317-887-2800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "18003219A",
"LicenseNumberStateCode": "IN",
"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."
}
}
}
}