{
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"OrgName": "DOUGLAS E. BRAMMER, D.D.S., INC.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "120 WEST DELAWARE AVE #B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VINITA",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74301-4224",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-256-7892",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "120 W DELAWARE AVE # B",
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"PracticeLocationAddressCityName": "VINITA",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressTelephoneNumber": "918-256-7892",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/24/2008",
"LastUpdateDate": "04/24/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRAMMER",
"AuthorizedOfficialFirstName": "DOUGLAS",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "DENTIST",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "918-256-7892",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "3869",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}