{
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"OrgName": "HUGH D. DEPAOLO M.D.P.C.",
"LastName": null,
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"FirstLineMailingAddress": "1450 E A ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CASPER",
"MailingAddressStateName": "WY",
"MailingAddressPostalCode": "82601-2239",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "307-235-1503",
"MailingAddressFaxNumber": "307-237-2020",
"FirstLinePracticeLocationAddress": "1450 E A ST",
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"PracticeLocationAddressCityName": "CASPER",
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"PracticeLocationAddressTelephoneNumber": "307-235-1503",
"PracticeLocationAddressFaxNumber": "307-237-2020",
"EnumerationDate": "08/31/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEPAOLO",
"AuthorizedOfficialFirstName": "HUGH",
"AuthorizedOfficialMiddleName": "DANIEL",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "307-235-1503",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "2883A",
"LicenseNumberStateCode": "WY",
"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."
}
}
}
}