{
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"OrgName": "MANOO BOONSIRI,M.D.,P.C.",
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"FirstLineMailingAddress": "730 N MACOMB ST",
"SecondLineMailingAddress": "SUITE 415",
"MailingAddressCityName": "MONROE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48162-2900",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "734-243-5822",
"MailingAddressFaxNumber": "734-241-3350",
"FirstLinePracticeLocationAddress": "10501 TELEGRAPH RD",
"SecondLinePracticeLocationAddress": "SUITE 102",
"PracticeLocationAddressCityName": "TAYLOR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "313-295-7822",
"PracticeLocationAddressFaxNumber": "734-241-3350",
"EnumerationDate": "09/27/2006",
"LastUpdateDate": "12/23/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOONSIRI",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "734-243-5822",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208G00000X",
"TaxonomyName": "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician",
"LicenseNumber": "35446",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}