{
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"OrgName": "KANAYOCHUKWU J. ANYA MD FACS, PLLC",
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"FirstLineMailingAddress": "6100 HARRIS PARKWAY",
"SecondLineMailingAddress": "380",
"MailingAddressCityName": "FORT WORTH",
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"MailingAddressPostalCode": "76132",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-759-9008",
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"FirstLinePracticeLocationAddress": "6100 HARRIS PKWY STE 380",
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"PracticeLocationAddressCityName": "FORT WORTH",
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"EnumerationDate": "05/30/2017",
"LastUpdateDate": "08/04/2017",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ANYA",
"AuthorizedOfficialFirstName": "KANAYOCHUKWU KANNY",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Surgery Physician",
"LicenseNumber": "N9800",
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}
},
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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."
}
}
}
}