{
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"EIN": null,
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"OrgName": "CY FAIR PEDIATRICS PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "10680 JONES RD STE 100",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77065-5594",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-894-3100",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10680 JONES RD STE 100",
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"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/07/2011",
"LastUpdateDate": "03/15/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOAN",
"AuthorizedOfficialFirstName": "JANIE",
"AuthorizedOfficialMiddleName": "THAO",
"AuthorizedOfficialTitle": "PEDIATRIC PHYSICIAN",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "832-573-9492",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinic/Center",
"LicenseNumber": "P1541",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}