{
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"EIN": null,
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"OrgName": "AMERICAN MEDICAL SUPPLY",
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3936 OLD SPANISH TRL",
"SecondLineMailingAddress": "SUITE C",
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77021-1425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-286-5900",
"MailingAddressFaxNumber": "713-527-0079",
"FirstLinePracticeLocationAddress": "3936 OLD SPANISH TRL",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "HOUSTON",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "832-286-5900",
"PracticeLocationAddressFaxNumber": "713-527-0079",
"EnumerationDate": "08/07/2012",
"LastUpdateDate": "08/08/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SAMSON",
"AuthorizedOfficialFirstName": "MICHAEL",
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"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": "M.SC",
"AuthorizedOfficialTelephoneNumber": "832-286-5900",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}