{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ALPHA RESCUE EMS",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "222 E DURDIN DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SILSBEE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77656-6400",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "409-385-8705",
"MailingAddressFaxNumber": "409-385-8707",
"FirstLinePracticeLocationAddress": "222 E DURDIN DR",
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"PracticeLocationAddressCityName": "SILSBEE",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "409-385-8705",
"PracticeLocationAddressFaxNumber": "409-385-8707",
"EnumerationDate": "06/04/2009",
"LastUpdateDate": "07/03/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCCOY",
"AuthorizedOfficialFirstName": "SAM",
"AuthorizedOfficialMiddleName": "WILLARD",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "PARAMEDIC",
"AuthorizedOfficialTelephoneNumber": "409-385-3757",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "1000453",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}