{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ALAN WEISEL MD PC",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "70 LYNAM RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STAMFORD",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06903-4523",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-348-9350",
"MailingAddressFaxNumber": "203-569-3650",
"FirstLinePracticeLocationAddress": "47 OAK ST",
"SecondLinePracticeLocationAddress": "SECOND FLOOR",
"PracticeLocationAddressCityName": "STAMFORD",
"PracticeLocationAddressStateName": "CT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-348-9350",
"PracticeLocationAddressFaxNumber": "203-569-3650",
"EnumerationDate": "08/25/2010",
"LastUpdateDate": "08/25/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEISEL",
"AuthorizedOfficialFirstName": "ALAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "203-348-9350",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "010341",
"LicenseNumberStateCode": "CT",
"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."
}
}
}
}