{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALAN P KAWAKAMI DDS PC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "2700 E FRY BLVD",
"SecondLineMailingAddress": "SUITE B-9",
"MailingAddressCityName": "SIERRA VISTA",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85635-2826",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2700 E FRY BLVD",
"SecondLinePracticeLocationAddress": "SUITE B-9",
"PracticeLocationAddressCityName": "SIERRA VISTA",
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"PracticeLocationAddressPostalCode": "85635-2826",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "520-459-1600",
"PracticeLocationAddressFaxNumber": "520-459-5763",
"EnumerationDate": "04/18/2012",
"LastUpdateDate": "08/11/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAWAKAMI",
"AuthorizedOfficialFirstName": "ALAN",
"AuthorizedOfficialMiddleName": "PAUL",
"AuthorizedOfficialTitle": "ORTHODONTIST",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "520-459-1600",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
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"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "N"
},
{
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},
{
"TaxonomyCode": "1223G0001X",
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"LicenseNumber": "2044",
"LicenseNumberStateCode": "AZ",
"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."
}
}
}
}