{
"Npi": {
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"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
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"OrgName": null,
"LastName": "TRACY",
"FirstName": "SUSANNE",
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"NamePrefix": "MISS",
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"Credential": "M.D.",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2333 BIDDLE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WYANDOTTE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48192-4668",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "734-246-6000",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "653 W 8TH ST # FC-12",
"SecondLinePracticeLocationAddress": "FACULTY CLINIC 3RD FLOOR",
"PracticeLocationAddressCityName": "JACKSONVILLE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32209-6511",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "904-244-3903",
"PracticeLocationAddressFaxNumber": "904-244-3870",
"EnumerationDate": "01/08/2007",
"LastUpdateDate": "07/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "TRN7093",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}