{
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    "authorized_official_first_name": "HOSAMANE",
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    "authorized_official_middle_name": "S",
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    "authorized_official_telephone_number": "6784897901",
    "authorized_official_title_or_position": "President",
    "certification_date": "2022-04-04",
    "enumeration_date": "2021-12-10",
    "last_updated": "2022-04-04",
    "organization_name": "ASTHMA ALLERGY AND IMMUNOLOGY CLINIC LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
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      "address_1": "147 N PARK TRL",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
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      "postal_code": "302817373",
      "state": "GA",
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      "address_1": "756 PENINSULA OVERLOOK",
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      "code": "207KA0200X",
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      "license": null,
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      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
      "code": "207K00000X",
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      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
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      "matches": [],
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    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "03",
        "medicare_type": "Physician/Allergy/ Immunology"
      }
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}