{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EUGENE EYE CLINIC LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2460 WILLAMETTE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EUGENE",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97405-3169",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "541-683-3746",
"MailingAddressFaxNumber": "541-683-3747",
"FirstLinePracticeLocationAddress": "2460 WILLAMETTE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EUGENE",
"PracticeLocationAddressStateName": "OR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "541-683-3746",
"PracticeLocationAddressFaxNumber": "541-683-3747",
"EnumerationDate": "05/22/2015",
"LastUpdateDate": "05/29/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STONEBURNER",
"AuthorizedOfficialFirstName": "SUE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPTICIAN",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "541-683-3746",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "051837-85",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}