{
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"IsOrgSubpart": "N",
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"OrgName": "OLGA KOTLYAR, OD, PLLC",
"LastName": null,
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"FirstLineMailingAddress": "10902 BRAES BAYOU DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77071-1809",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-515-5626",
"MailingAddressFaxNumber": "281-890-9938",
"FirstLinePracticeLocationAddress": "103 YALE STREET",
"SecondLinePracticeLocationAddress": "SUITE 100 B",
"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-515-5626",
"PracticeLocationAddressFaxNumber": "281-890-9938",
"EnumerationDate": "06/20/2012",
"LastUpdateDate": "06/20/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KOTLYAR",
"AuthorizedOfficialFirstName": "OLGA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "713-515-5626",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "6443TG",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}