{
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  "enumeration_type": "NPI-1",
  "basic": {
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    "credential": "MD",
    "enumeration_date": "2017-03-21",
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    "last_updated": "2025-06-03",
    "middle_name": "JAMES",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
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    {
      "address_1": "7075 N SHARON AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FRESNO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "559-256-8595",
      "postal_code": "937203329",
      "state": "CA",
      "telephone_number": "559-486-2000"
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      "address_1": "7075 N SHARON AVE",
      "address_purpose": "MAILING",
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      "fax_number": "559-256-8595",
      "postal_code": "937203329",
      "state": "CA",
      "telephone_number": "559-486-2000"
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  ],
  "taxonomies": [
    {
      "code": "207W00000X",
      "desc": "Ophthalmology",
      "license": "A174514",
      "primary": true,
      "state": "CA",
      "taxonomy_group": ""
    }
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      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
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    "cms_pecos_eligibility": {
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      "LAST_NAME": "ADAMS",
      "FIRST_NAME": "SPENCER",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "Y"
    }
  },
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    "total_services": "2277",
    "total_medicare_allowed_amt": "311972.15",
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        "description": "Removal of recurring cataract in lens capsule using a laser",
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        "beneficiaries": "54"
      },
      {
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        "description": "Removal of cataract with insertion of prosthetic lens",
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        "beneficiaries": "135"
      },
      {
        "code": "66984",
        "description": "Removal of cataract with insertion of prosthetic lens",
        "services": "20",
        "beneficiaries": "11"
      },
      {
        "code": "76514",
        "description": "Ultrasound scan of cornea to determine thickness",
        "services": "22",
        "beneficiaries": "22"
      },
      {
        "code": "92014",
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        "beneficiaries": "25"
      },
      {
        "code": "92020",
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        "beneficiaries": "11"
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      {
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        "beneficiaries": "238"
      },
      {
        "code": "92133",
        "description": "Imaging of optic nerve",
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        "beneficiaries": "224"
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    "certifying_board": "American Board of Ophthalmology (ABO)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "18",
        "medicare_type": "Physician/Ophthalmology"
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}