{
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"FirstLineMailingAddress": "1427 WILCREST DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77042-2227",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "832-293-2859",
"MailingAddressFaxNumber": "713-667-9011",
"FirstLinePracticeLocationAddress": "1427 WILCREST DR",
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"PracticeLocationAddressCityName": "HOUSTON",
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"PracticeLocationAddressFaxNumber": "713-667-9011",
"EnumerationDate": "06/22/2011",
"LastUpdateDate": "06/22/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ESFANDIARI",
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"AuthorizedOfficialCredential": "D.D.S.",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "20196",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}