{
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"OrgName": "DENALI DENTAL PLLC",
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"FirstLineMailingAddress": "3305 SEDWICK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AMES",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "50010-1157",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "515-520-1367",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "525 TIMBERLAND DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STORY CITY",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50248-8793",
"PracticeLocationAddressCountryCode": "US",
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"EnumerationDate": "02/26/2017",
"LastUpdateDate": "02/26/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BINKOWSKI",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": "JOSEPH",
"AuthorizedOfficialTitle": "OWNER, OPERATOR",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "515-337-2510",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "09236",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}