{
"Npi": {
"NPI": "1952353617",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ABERDEEN ASSOCIATION OF ORTHOPEDIC SURGEONS",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherFirstName": null,
"OtherMiddleName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "201 S LLOYD ST",
"SecondLineMailingAddress": "SUITE 110",
"MailingAddressCityName": "ABERDEEN",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57401-4552",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-229-0205",
"MailingAddressFaxNumber": "605-229-5513",
"FirstLinePracticeLocationAddress": "201 S LLOYD ST",
"SecondLinePracticeLocationAddress": "SUITE 110",
"PracticeLocationAddressCityName": "ABERDEEN",
"PracticeLocationAddressStateName": "SD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-229-0205",
"PracticeLocationAddressFaxNumber": "605-229-5513",
"EnumerationDate": "05/17/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARBERT",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "G.",
"AuthorizedOfficialTitle": "PARTNER PHYSICIAN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "605-229-0205",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "4602",
"LicenseNumberStateCode": "SD",
"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."
}
}
}
}