{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "NEIL VADECHA DMD INC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "540 W BASELINE RD",
"SecondLineMailingAddress": "SUITE 5",
"MailingAddressCityName": "CLAREMONT",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91711-1612",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "909-625-1234",
"MailingAddressFaxNumber": "909-625-4500",
"FirstLinePracticeLocationAddress": "540 W BASELINE RD",
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"PracticeLocationAddressCityName": "CLAREMONT",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "909-625-1234",
"PracticeLocationAddressFaxNumber": "909-625-4500",
"EnumerationDate": "08/27/2007",
"LastUpdateDate": "07/24/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VADECHA",
"AuthorizedOfficialFirstName": "NEIL",
"AuthorizedOfficialMiddleName": "VIDEN",
"AuthorizedOfficialTitle": "ORTHODONTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "909-625-1234",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223X0400X",
"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"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."
}
}
}
}