{
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"EIN": null,
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"IsOrgSubpart": "Y",
"ParentOrgLBN": "COMMUNITY HEALTH NETWORK",
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"OrgName": "OCCUPATIONAL HEALTH CARMEL",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11911 N MERIDIAN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARMEL",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46032-6904",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-621-6704",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11911 N MERIDIAN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARMEL",
"PracticeLocationAddressStateName": "IN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-621-6704",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/16/2010",
"LastUpdateDate": "02/16/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHNEFKE",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "E.",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "317-355-6341",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QX0100X",
"TaxonomyName": "Occupational Medicine Clinic/Center",
"LicenseNumber": "0500050681",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}