{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"ParentOrgTIN": null,
"OrgName": "MARIA V SANTOS, DMD, INC",
"LastName": null,
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"NameSuffix": null,
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"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
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"FirstLineMailingAddress": "1103 W ORANGETHORPE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FULLERTON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92833-4735",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-871-8093",
"MailingAddressFaxNumber": "714-871-8133",
"FirstLinePracticeLocationAddress": "24910 LAS BRISAS RD",
"SecondLinePracticeLocationAddress": "SUITE 104",
"PracticeLocationAddressCityName": "MURRIETA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92562-4010",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "951-445-4407",
"PracticeLocationAddressFaxNumber": "951-445-4421",
"EnumerationDate": "03/06/2010",
"LastUpdateDate": "03/06/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SANTOS",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "VENERACION",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "951-445-4407",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "39078",
"LicenseNumberStateCode": "CA",
"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."
}
}
}
}