{
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"FirstLineMailingAddress": "4000 SIGMA RD",
"SecondLineMailingAddress": "9407",
"MailingAddressCityName": "FARMERS BRANCH",
"MailingAddressStateName": "TX",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8075 FM 423 BLDG 3",
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"PracticeLocationAddressCityName": "FRISCO",
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"EnumerationDate": "05/14/2015",
"LastUpdateDate": "05/14/2015",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KIM",
"AuthorizedOfficialFirstName": "DEMIAN",
"AuthorizedOfficialMiddleName": "JUNGMOOK",
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"AuthorizedOfficialCredential": "D.D.S",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dentist",
"LicenseNumber": "27612",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}