{
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"FirstLineMailingAddress": "7600 E CAMELBACK RD",
"SecondLineMailingAddress": "SUITE 8",
"MailingAddressCityName": "SCOTTSDALE",
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"MailingAddressPostalCode": "85251-2106",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "7600 E CAMELBACK RD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-282-6746",
"PracticeLocationAddressFaxNumber": "602-610-4737",
"EnumerationDate": "07/27/2014",
"LastUpdateDate": "11/22/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARTINEZ",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "1223P0221X",
"TaxonomyName": "Pediatric Dentistry",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
]
}
}
}