{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "JERRY DILLARD MD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "206 W DALLAS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SELMA",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36701-6531",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "334-875-7406",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "206 W DALLAS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SELMA",
"PracticeLocationAddressStateName": "AL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "334-875-7406",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/31/2016",
"LastUpdateDate": "01/31/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DILLARD",
"AuthorizedOfficialFirstName": "JERRY",
"AuthorizedOfficialMiddleName": "DEAN",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "334-875-7406",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "ACSC3813",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}