{
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"IsOrgSubpart": "N",
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"OrgName": "MARLOW FAMILY HEALTHCARE PRESTON HEATH BOYLES SOLE MBR",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "311 W MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARLOW",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73055-2441",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-756-4076",
"MailingAddressFaxNumber": "580-756-4077",
"FirstLinePracticeLocationAddress": "311 W MAIN ST",
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"PracticeLocationAddressCityName": "MARLOW",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-756-4076",
"PracticeLocationAddressFaxNumber": "580-756-4077",
"EnumerationDate": "10/16/2012",
"LastUpdateDate": "02/08/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOYLES",
"AuthorizedOfficialFirstName": "PRESTON",
"AuthorizedOfficialMiddleName": "HEATH",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "580-756-4076",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "82777",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}