{
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"FirstLineMailingAddress": "5701 4TH ST STE 427",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-446-1169",
"MailingAddressFaxNumber": "281-466-4886",
"FirstLinePracticeLocationAddress": "2815 W LAKE HOUSTON PKWY STE 105",
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"PracticeLocationAddressCityName": "KINGWOOD",
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"EnumerationDate": "09/11/2023",
"LastUpdateDate": "10/30/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ADAMS",
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"AuthorizedOfficialTitle": "PEDIATRIC DENTIST/CO-OWNER",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pediatric Dentistry",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}