{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "OXY PRO INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "13221 HUGH SEYMOUR LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OCEAN SPRINGS",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39564-2288",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "228-875-7950",
"MailingAddressFaxNumber": "228-875-7952",
"FirstLinePracticeLocationAddress": "13221 HUGH SEYMOUR LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OCEAN SPRINGS",
"PracticeLocationAddressStateName": "MS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "228-875-7950",
"PracticeLocationAddressFaxNumber": "228-875-7952",
"EnumerationDate": "10/24/2006",
"LastUpdateDate": "11/25/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DUCHARME",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "GARRETT",
"AuthorizedOfficialTitle": "PRESIDENT / CEO",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "228-875-7950",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "05955 / 11.1",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}