{
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"ParentOrgLBN": null,
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"OrgName": "ERLINDA DE JOYA ROSENTHAL, D.M.D., A PROFESSIONAL DENTAL CORPORATION",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "13760 ROSCOE BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PANORAMA CITY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91402-3840",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-893-9222",
"MailingAddressFaxNumber": "818-893-9220",
"FirstLinePracticeLocationAddress": "13760 ROSCOE BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PANORAMA CITY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-893-9222",
"PracticeLocationAddressFaxNumber": "818-893-9220",
"EnumerationDate": "03/07/2014",
"LastUpdateDate": "06/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSENTHAL",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "BERNARD",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "818-893-9222",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
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"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}