{
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"OrgName": "JOHN MISSRY, M.D., L.L.C.",
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"FirstLineMailingAddress": "5701 CENTRE AVE",
"SecondLineMailingAddress": "SUITE L-3",
"MailingAddressCityName": "PITTSBURGH",
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"MailingAddressPostalCode": "15206-3744",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "412-661-2100",
"MailingAddressFaxNumber": "412-661-3930",
"FirstLinePracticeLocationAddress": "5701 CENTRE AVE",
"SecondLinePracticeLocationAddress": "SUITE L-3",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "412-661-2100",
"PracticeLocationAddressFaxNumber": "412-661-3930",
"EnumerationDate": "04/18/2007",
"LastUpdateDate": "01/28/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MISSRY",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "412-661-2100",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "MD048849L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}