{
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"OrgName": "ROBERT B LOWTHORP DDS INC",
"LastName": null,
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"FirstLineMailingAddress": "350 W LINE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BISHOP",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93514-3413",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-873-5859",
"MailingAddressFaxNumber": "760-873-5850",
"FirstLinePracticeLocationAddress": "350 W LINE ST",
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"PracticeLocationAddressCityName": "BISHOP",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-873-5859",
"PracticeLocationAddressFaxNumber": "760-873-5850",
"EnumerationDate": "02/26/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LOWTHORP",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "B",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223X0400X",
"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": "22642",
"LicenseNumberStateCode": "CA",
"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."
}
}
}
}