{
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"IsOrgSubpart": "N",
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"OrgName": "DAN K. SPECKHART D.M.D. AND DOUGLAS J. WHITE D.M.D., P.C.",
"LastName": null,
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"FirstLineMailingAddress": "PO BOX 288",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PITTSFIELD",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62363-0288",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "217-285-5553",
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"FirstLinePracticeLocationAddress": "110 E FAYETTE ST",
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"PracticeLocationAddressCityName": "PITTSFIELD",
"PracticeLocationAddressStateName": "IL",
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"EnumerationDate": "09/23/2008",
"LastUpdateDate": "09/23/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPECKHART",
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"AuthorizedOfficialMiddleName": "K.",
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"AuthorizedOfficialCredential": "D.M.D.",
"AuthorizedOfficialTelephoneNumber": "217-285-5553",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "060.002475",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}