{
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"OrgName": "DOMINIC W TAM MD & ROSE CW TAM MD INC",
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"FirstLineMailingAddress": "50 W JUNIPER LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORELAND HILLS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44022-1380",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-765-8402",
"MailingAddressFaxNumber": "216-765-8401",
"FirstLinePracticeLocationAddress": "16000 PEARL RD",
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"PracticeLocationAddressCityName": "STRONGSVILLE",
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"PracticeLocationAddressTelephoneNumber": "440-572-3020",
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"EnumerationDate": "10/08/2006",
"LastUpdateDate": "08/29/2017",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAM",
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"AuthorizedOfficialMiddleName": "CHUN WAH",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "216-765-8402",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dermatology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}