{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
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"OrgName": "KENNETH C. PRATHER, M.D., P.A.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "5500 OAKWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EL DORADO",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "71730-8525",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-881-4550",
"MailingAddressFaxNumber": "870-881-4550",
"FirstLinePracticeLocationAddress": "460 W OAK",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EL DORADO",
"PracticeLocationAddressStateName": "AR",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-864-5490",
"PracticeLocationAddressFaxNumber": "870-864-5494",
"EnumerationDate": "03/08/2012",
"LastUpdateDate": "03/08/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PRATHER",
"AuthorizedOfficialFirstName": "KENNETH",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "PHYSICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "870-881-4550",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "C-5928",
"LicenseNumberStateCode": "AR",
"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."
}
}
}
}