{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MCDANIEL CLINIC, P. A.",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1608 WEST FM 700",
"SecondLineMailingAddress": "STE A",
"MailingAddressCityName": "BIG SPRING",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79720-4113",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "432-267-1014",
"MailingAddressFaxNumber": "432-267-2604",
"FirstLinePracticeLocationAddress": "1608 WEST FM 700",
"SecondLinePracticeLocationAddress": "STE A",
"PracticeLocationAddressCityName": "BIG SPRING",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79720-4113",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "432-267-1014",
"PracticeLocationAddressFaxNumber": "432-267-2604",
"EnumerationDate": "11/25/2008",
"LastUpdateDate": "11/25/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCDANIEL",
"AuthorizedOfficialFirstName": "CLARK",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "432-267-1014",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "E2289",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}