{
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"ParentOrgTIN": null,
"OrgName": "KIDS PROMPT CARE, LLC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "4106 COLUMBIA RD",
"SecondLineMailingAddress": "STE 103",
"MailingAddressCityName": "MARTINEZ",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30907-1450",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "706-863-1440",
"MailingAddressFaxNumber": "706-863-5418",
"FirstLinePracticeLocationAddress": "1456 WALTON WAY",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "AUGUSTA",
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"PracticeLocationAddressPostalCode": "30901-2674",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-863-1440",
"PracticeLocationAddressFaxNumber": "706-863-5418",
"EnumerationDate": "02/27/2012",
"LastUpdateDate": "01/22/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GETTS",
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"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "706-863-1440",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": "27377",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}