{
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"FirstLineMailingAddress": "1711 W GORE BLVD",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "LAWTON",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73501-3638",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-695-0639",
"MailingAddressFaxNumber": "580-353-4357",
"FirstLinePracticeLocationAddress": "1711 W GORE BLVD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-695-0639",
"PracticeLocationAddressFaxNumber": "580-353-4357",
"EnumerationDate": "06/06/2006",
"LastUpdateDate": "04/22/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BATKA",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PSYCHOLOGIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHD",
"AuthorizedOfficialTelephoneNumber": "850-883-8373",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Psychologist",
"LicenseNumber": "910",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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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."
}
}
}
}