{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SANGITA W. TREHAN DDS LTD INCORPORATED",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "202 S COOK ST",
"SecondLineMailingAddress": "SUITE 204",
"MailingAddressCityName": "BARRINGTON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60010-4369",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-381-5466",
"MailingAddressFaxNumber": "847-381-5536",
"FirstLinePracticeLocationAddress": "202 S COOK ST",
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"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-381-5466",
"PracticeLocationAddressFaxNumber": "847-381-5536",
"EnumerationDate": "12/08/2008",
"LastUpdateDate": "12/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TREHAN",
"AuthorizedOfficialFirstName": "SANGITA",
"AuthorizedOfficialMiddleName": "W",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "847-381-5644",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "019023675",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}