{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "GRANT&JOYNER DDS PA",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1005 TURNER MEADOW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RALEIGH",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27603-7995",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-339-3279",
"MailingAddressFaxNumber": "919-779-6682",
"FirstLinePracticeLocationAddress": "6250 ROGERS RD",
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"PracticeLocationAddressCityName": "ROLESVILLE",
"PracticeLocationAddressStateName": "NC",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "757-339-3279",
"PracticeLocationAddressFaxNumber": "919-779-6682",
"EnumerationDate": "07/09/2008",
"LastUpdateDate": "07/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRANT",
"AuthorizedOfficialFirstName": "KENISHA",
"AuthorizedOfficialMiddleName": "LASHAE",
"AuthorizedOfficialTitle": "VICE PRESIDENT/SECRETARY",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "7982",
"LicenseNumberStateCode": "NC",
"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."
}
}
}
}