{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"LastName": null,
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"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "105 E OKLAHOMA AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GUTHRIE",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73044-3242",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-293-4160",
"MailingAddressFaxNumber": "572-568-4501",
"FirstLinePracticeLocationAddress": "105 E OKLAHOMA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GUTHRIE",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-293-4160",
"PracticeLocationAddressFaxNumber": "572-568-4501",
"EnumerationDate": "07/28/2022",
"LastUpdateDate": "07/28/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARTZELL",
"AuthorizedOfficialFirstName": "STEPHEN",
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"AuthorizedOfficialCredential": "APRN",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}