{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MINOR W GORDON PH D PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3223 E 31ST ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TULSA",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74105-2452",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-747-5308",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3223 E 31ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TULSA",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-747-5308",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/15/2008",
"LastUpdateDate": "01/15/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GORDON",
"AuthorizedOfficialFirstName": "MINOR",
"AuthorizedOfficialMiddleName": "WILLIAM",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "PH D",
"AuthorizedOfficialTelephoneNumber": "918-747-5308",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "309",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}