{
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"OrgName": "FLORIDA CENTER FOR ORAL SURGERY & DENTAL IMPLANTS",
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"FirstLineMailingAddress": "12651 W SUNRISE BLVD",
"SecondLineMailingAddress": "SUITE 304",
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"MailingAddressPostalCode": "33323-0906",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-845-0098",
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"FirstLinePracticeLocationAddress": "12651 W SUNRISE BLVD",
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"PracticeLocationAddressFaxNumber": "954-845-0280",
"EnumerationDate": "02/19/2014",
"LastUpdateDate": "02/19/2014",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
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"AuthorizedOfficialTelephoneNumber": "954-845-0098",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
"LicenseNumber": "DN16488",
"LicenseNumberStateCode": "FL",
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}
},
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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."
}
}
}
}