{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "KWAN H. UM DDS",
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"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7710 BEECHNUT ST",
"SecondLineMailingAddress": "SUITE 230",
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77074-3100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "713-774-7012",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7710 BEECHNUT ST",
"SecondLinePracticeLocationAddress": "SUITE 230",
"PracticeLocationAddressCityName": "HOUSTON",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "713-774-7012",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/31/2012",
"LastUpdateDate": "08/31/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "UM",
"AuthorizedOfficialFirstName": "KWAN",
"AuthorizedOfficialMiddleName": "HEE",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "713-774-7012",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "21039",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}