{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "AISHWARYA V PATIL, DDS, PLLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
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"OtherLastName": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "12911 120TH AVE NE STE F200",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KIRKLAND",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98034-3026",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-821-9111",
"MailingAddressFaxNumber": "425-821-2696",
"FirstLinePracticeLocationAddress": "12911 120TH AVE NE STE F200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KIRKLAND",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-821-9111",
"PracticeLocationAddressFaxNumber": "425-821-2696",
"EnumerationDate": "01/08/2026",
"LastUpdateDate": "01/08/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATIL",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "425-821-9111",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}