{
"Npi": {
"NPI": "1699930008",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROBERT L. ANDERSON, M.D., P.C.",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2115 N KANSAS AVE",
"SecondLineMailingAddress": "SUITE 205",
"MailingAddressCityName": "HASTINGS",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68901-2615",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-463-3634",
"MailingAddressFaxNumber": "402-463-0033",
"FirstLinePracticeLocationAddress": "2115 N KANSAS AVE",
"SecondLinePracticeLocationAddress": "SUITE 205",
"PracticeLocationAddressCityName": "HASTINGS",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68901-2615",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-463-3634",
"PracticeLocationAddressFaxNumber": "402-463-0033",
"EnumerationDate": "07/24/2008",
"LastUpdateDate": "07/24/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROMANS",
"AuthorizedOfficialFirstName": "WENDY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "402-463-3634",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "15995",
"LicenseNumberStateCode": "NE",
"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."
}
}
}
}