{
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"OrgName": "MARK ANDREW DILLON, DMD, PA",
"LastName": null,
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"FirstLineMailingAddress": "75 OLD HWY 98 EAST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TYLERTOWN",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39667",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "75 OLD HIGHWAY 98 E",
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"PracticeLocationAddressTelephoneNumber": "601-876-2176",
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"EnumerationDate": "01/30/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DILLON",
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"AuthorizedOfficialTelephoneNumber": "601-876-2176",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "MS2717-93",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}