{
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"IsOrgSubpart": "N",
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"OrgName": "HUNTER B NELSON MD PC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 9218",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOBILE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36691-0218",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "251-544-1926",
"MailingAddressFaxNumber": "251-460-2846",
"FirstLinePracticeLocationAddress": "1970 HOSPITAL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLARKSDALE",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38614-7202",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-621-5088",
"PracticeLocationAddressFaxNumber": "662-614-3299",
"EnumerationDate": "12/15/2009",
"LastUpdateDate": "07/15/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NELSON",
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"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2085R0202X",
"TaxonomyName": "Diagnostic Radiology Physician",
"LicenseNumber": "15688",
"LicenseNumberStateCode": "MS",
"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."
}
}
}
}