{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "EYE CARE CENTER LTD",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P O BOX 154",
"SecondLineMailingAddress": "346 MAIN ST",
"MailingAddressCityName": "DARLINGTON",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53530-0154",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-776-4413",
"MailingAddressFaxNumber": "608-776-4414",
"FirstLinePracticeLocationAddress": "346 MAIN ST",
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"PracticeLocationAddressCityName": "DARLINGTON",
"PracticeLocationAddressStateName": "WI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-776-4413",
"PracticeLocationAddressFaxNumber": "608-776-4414",
"EnumerationDate": "03/06/2008",
"LastUpdateDate": "02/01/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LUECK",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "C",
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"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "608-776-4413",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "1849",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}