{
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"OrgName": "SOUTHERN INDIANA GENERAL SURGERY INC",
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"FirstLineMailingAddress": "PO BOX 725",
"SecondLineMailingAddress": "3231 MITCHELL RD",
"MailingAddressCityName": "BEDFORD",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47421",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-279-9771",
"MailingAddressFaxNumber": "812-275-8554",
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"PracticeLocationAddressFaxNumber": "812-275-8554",
"EnumerationDate": "04/06/2007",
"LastUpdateDate": "01/12/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURNETTE",
"AuthorizedOfficialFirstName": "SANDY",
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"AuthorizedOfficialTelephoneNumber": "812-279-9771",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Surgery Physician",
"LicenseNumber": "01046182",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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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."
}
}
}
}