{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "AMORY SURGERY CLINIC, PLLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"FirstLineMailingAddress": "1127 EARL FRYE BLVD",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "AMORY",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38821-5516",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-256-3333",
"MailingAddressFaxNumber": "662-256-5166",
"FirstLinePracticeLocationAddress": "1127 EARL FRYE BLVD",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "AMORY",
"PracticeLocationAddressStateName": "MS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-256-3333",
"PracticeLocationAddressFaxNumber": "662-256-5166",
"EnumerationDate": "07/22/2016",
"LastUpdateDate": "07/25/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOANG",
"AuthorizedOfficialFirstName": "HOAT",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "PARTNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "662-256-3333",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "16728",
"LicenseNumberStateCode": "MS",
"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."
}
}
}
}