{
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"OrgName": "RIVER OAK DENTAL SPA DENTAL OFFICE OF TOURTLOTTE DENTAL CORPORATION",
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"FirstLineMailingAddress": "1473 EAST G ST",
"SecondLineMailingAddress": "STE C",
"MailingAddressCityName": "OAKDALE",
"MailingAddressStateName": "CA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "209-848-8074",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1473 EAST G ST",
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"EnumerationDate": "08/31/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TOURTLOTTE",
"AuthorizedOfficialFirstName": "CHRISTINA",
"AuthorizedOfficialMiddleName": "LOUISE",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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"LicenseNumberStateCode": "CA",
"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."
}
}
}
}