{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "HUGH JERNIGAN, DMD PLLC",
"LastName": null,
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"NamePrefix": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2418 E DESERT COVE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHOENIX",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85028-2522",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-315-9722",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7102 E ACOMA DR STE 3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCOTTSDALE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85254-2771",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-556-0310",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/25/2022",
"LastUpdateDate": "04/25/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JERNIGAN",
"AuthorizedOfficialFirstName": "HUGH",
"AuthorizedOfficialMiddleName": "WARREN",
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"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "602-315-9722",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}