{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "OVREN MOBILITY PRODUCTS",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3020 SHELLHART RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44203-6371",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-825-7296",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3020 SHELLHART RD",
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"PracticeLocationAddressCityName": "NORTON",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressTelephoneNumber": "330-825-7296",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/15/2007",
"LastUpdateDate": "06/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NERVO",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "JOSEPH",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "330-825-7296",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BC3200X",
"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}