{
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"EIN": null,
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"OrgName": "BRIAN JOSEPH MAZZEI DPM AND RENEE PATRICE MASON DPM PC",
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"FirstLineMailingAddress": "1231 W MAIN ST",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "ABINGDON",
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"MailingAddressPostalCode": "24210-4705",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "276-623-0333",
"MailingAddressFaxNumber": "237-623-0213",
"FirstLinePracticeLocationAddress": "1231 W MAIN ST",
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"PracticeLocationAddressCityName": "ABINGDON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "276-623-0333",
"PracticeLocationAddressFaxNumber": "237-623-0213",
"EnumerationDate": "12/23/2005",
"LastUpdateDate": "06/29/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAZZEI",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "276-623-0333",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "C10300942",
"LicenseNumberStateCode": "VA",
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},
{
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
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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."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}