{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
"OrgName": "OSTEOPOROSIS CENTER OF SAN JOSE",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": "6",
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"FirstLineMailingAddress": "25 N. 14TH ST. SUITE 890",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN JOSE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95112",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "408-288-6694",
"MailingAddressFaxNumber": "408-288-6698",
"FirstLinePracticeLocationAddress": "25 N 14TH ST STE 890",
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"PracticeLocationAddressCityName": "SAN JOSE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95112-6216",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "408-288-6694",
"PracticeLocationAddressFaxNumber": "408-288-6698",
"EnumerationDate": "04/27/2007",
"LastUpdateDate": "09/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DREYFUSS",
"AuthorizedOfficialFirstName": "BRUCE",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "408-288-6694",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QR0200X",
"TaxonomyName": "Radiology Clinic/Center",
"LicenseNumber": "FAC52131",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2471B0102X",
"TaxonomyName": "Bone Densitometry Radiologic Technologist",
"LicenseNumber": "RHC142268",
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"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."
}
}
}
}