{
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"EIN": null,
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"ParentOrgLBN": "SABATES EYE CENTERS, PC",
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"LastName": null,
"FirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11261 NALL AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LEAWOOD",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66211-1669",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-261-2020",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2101 CHARLOTTE ST",
"SecondLinePracticeLocationAddress": "SUITE 230",
"PracticeLocationAddressCityName": "KANSAS CITY",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64108",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-261-2020",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/28/2015",
"LastUpdateDate": "11/16/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SABATES",
"AuthorizedOfficialFirstName": "NELSON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "913-261-2020",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "R1H47",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}