{
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"OrgName": "VOSS & BECK FAMILY DENTISTRY",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "200 STATION WAY STE A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARROYO GRANDE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93420-3348",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-489-6800",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 STATION WAY STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARROYO GRANDE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-489-6800",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/06/2009",
"LastUpdateDate": "01/06/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VOSS",
"AuthorizedOfficialFirstName": "RANDALL",
"AuthorizedOfficialMiddleName": "CURTIS",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.M.D.",
"AuthorizedOfficialTelephoneNumber": "805-489-6800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "34042",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}