{
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"OrgName": "AFFORDABLE DENTAL OF OLATHE, LLC",
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"FirstLineMailingAddress": "401 S CLAIRBORNE RD",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "OLATHE",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66062-1735",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-839-1792",
"MailingAddressFaxNumber": "913-839-1792",
"FirstLinePracticeLocationAddress": "920 6TH AVE",
"SecondLinePracticeLocationAddress": "MEDICAL ARTS BLDG, SUITE 101",
"PracticeLocationAddressCityName": "LEAVENWORTH",
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"PracticeLocationAddressPostalCode": "66048-3225",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-682-2595",
"PracticeLocationAddressFaxNumber": "913-682-2595",
"EnumerationDate": "11/01/2011",
"LastUpdateDate": "11/01/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOURNEE",
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"AuthorizedOfficialMiddleName": "CONRAD",
"AuthorizedOfficialTitle": "DENTIST/OWNER",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "816-392-3112",
"Taxonomies": {
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{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}