{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "BRIEL D LOISEAU DDS, PS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "836 SHARON AVE E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOSES LAKE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98837-2442",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-765-1748",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "836 SHARON AVE E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOSES LAKE",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-765-1748",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/28/2010",
"LastUpdateDate": "05/19/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LOISEAU",
"AuthorizedOfficialFirstName": "BRIEL",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "509-765-1748",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DE60099971",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}