{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "DR. TERRY KLAMPE, INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2112 VIKING DR NW",
"SecondLineMailingAddress": "DR. TERRY KLAMPE, INC",
"MailingAddressCityName": "ROCHESTER",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55901",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "507-288-1633",
"MailingAddressFaxNumber": "507-288-2716",
"FirstLinePracticeLocationAddress": "2112 VIKING DR NW",
"SecondLinePracticeLocationAddress": "DR. TERRY KLAMPE, INC",
"PracticeLocationAddressCityName": "ROCHESTER",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55901",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "507-288-1633",
"PracticeLocationAddressFaxNumber": "507-288-2716",
"EnumerationDate": "07/28/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KLAMPE",
"AuthorizedOfficialFirstName": "TERRY",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS, MS",
"AuthorizedOfficialTelephoneNumber": "507-288-1633",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "09249",
"LicenseNumberStateCode": "MN",
"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."
}
}
}
}