{
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"OrgName": "PETER M. GUTIERREZ, D.D.S. AND KATHERINE SCURES-GUTIERREZ, D.D.S., P.A",
"LastName": null,
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"FirstLineMailingAddress": "373 SEBASTIAN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEBASTIAN",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32958-4550",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "772-589-7409",
"MailingAddressFaxNumber": "772-589-0777",
"FirstLinePracticeLocationAddress": "373 SEBASTIAN BLVD",
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"PracticeLocationAddressCityName": "SEBASTIAN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "772-589-7409",
"PracticeLocationAddressFaxNumber": "772-589-0777",
"EnumerationDate": "02/10/2011",
"LastUpdateDate": "02/10/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCURES-GUTIERREZ",
"AuthorizedOfficialFirstName": "KATHERINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "772-589-7409",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "DN10063",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}