{
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"OrgName": "MA. CRISTINA ESGUERRA MANIEGO DMD,PC",
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"FirstLineMailingAddress": "508 GIBSON DR",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "ROSEVILLE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95678-5794",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-772-6777",
"MailingAddressFaxNumber": "916-789-0333",
"FirstLinePracticeLocationAddress": "508 GIBSON DR",
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"PracticeLocationAddressCityName": "ROSEVILLE",
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"PracticeLocationAddressFaxNumber": "916-789-0333",
"EnumerationDate": "10/29/2013",
"LastUpdateDate": "10/29/2013",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANIEGO",
"AuthorizedOfficialFirstName": "MARIA CRISTINA",
"AuthorizedOfficialMiddleName": "ESGUERRA",
"AuthorizedOfficialTitle": "DENTIST/CEO",
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"AuthorizedOfficialCredential": "DMD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}