{
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"OrgName": "HOUSTON DENTISTRY PC",
"LastName": null,
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"FirstLineMailingAddress": "181 SAINT ANDREWS DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MABANK",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75156-7271",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1632 SPENCER HWY",
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"PracticeLocationAddressCityName": "SOUTH HOUSTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77587-3752",
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"PracticeLocationAddressTelephoneNumber": "713-910-1002",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/03/2010",
"LastUpdateDate": "03/03/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARNES",
"AuthorizedOfficialFirstName": "JOHN",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "214-280-4674",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dentist",
"LicenseNumber": "12406",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}