{
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"OrgName": "DENTAL NOW CARE LLC",
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "915 S IRONWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTH BEND",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46615-1613",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "574-216-2030",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "915 S IRONWOOD DR",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/04/2026",
"LastUpdateDate": "06/04/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DIETRICH",
"AuthorizedOfficialFirstName": "DEAN",
"AuthorizedOfficialMiddleName": "DUVAL",
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"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "630-667-3538",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}