{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "JOPLIN NEUROSURGICAL ASSOC., INC.",
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"NameSuffix": null,
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"FirstLineMailingAddress": "2902 B MCCLELLAND BLVD.",
"SecondLineMailingAddress": "STE. 7",
"MailingAddressCityName": "JOPLIN",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64804-1632",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "417-781-4733",
"MailingAddressFaxNumber": "417-781-8078",
"FirstLinePracticeLocationAddress": "2902 B MCCLELLAND BLVD.",
"SecondLinePracticeLocationAddress": "SUITE #7",
"PracticeLocationAddressCityName": "JOPLIN",
"PracticeLocationAddressStateName": "MO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "417-781-4733",
"PracticeLocationAddressFaxNumber": "417-781-8078",
"EnumerationDate": "05/20/2009",
"LastUpdateDate": "05/20/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAJZOUB",
"AuthorizedOfficialFirstName": "HISH",
"AuthorizedOfficialMiddleName": "S.",
"AuthorizedOfficialTitle": "PHYSICIAN/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "417-781-4733",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207T00000X",
"TaxonomyName": "Neurological Surgery Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}