{
"Npi": {
"NPI": "1730131731",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SPRINGDALE BENTONVILLE SURGERY CENTER LP",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 842494",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75284-2494",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "479-750-5800",
"MailingAddressFaxNumber": "479-685-7262",
"FirstLinePracticeLocationAddress": "601 W MAPLE AVE",
"SecondLinePracticeLocationAddress": "SUITE 302",
"PracticeLocationAddressCityName": "SPRINGDALE",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72764-5335",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "479-750-5800",
"PracticeLocationAddressFaxNumber": "479-685-7262",
"EnumerationDate": "05/17/2006",
"LastUpdateDate": "02/03/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOLTSFORD",
"AuthorizedOfficialFirstName": "LAURIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR, BUSINESS OFFICE SUPPORT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "615-465-7466",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "AR4278",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}