{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "RICHARD L. SHERMAN, D.D.S.",
"LastName": null,
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"FirstLineMailingAddress": "4725 SW 148 AVE SUITE 203",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DAVIE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33330",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-680-4443",
"MailingAddressFaxNumber": "954-434-5080",
"FirstLinePracticeLocationAddress": "4725 SW 148 AVE. SUITE 203",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DAVIE",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-680-4443",
"PracticeLocationAddressFaxNumber": "954-434-5080",
"EnumerationDate": "10/31/2012",
"LastUpdateDate": "10/31/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHERMAN",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS.",
"AuthorizedOfficialTelephoneNumber": "954-680-4443",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223P0221X",
"TaxonomyName": "Pediatric Dentistry",
"LicenseNumber": "6139",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}