{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "10723 FAIRGROVE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIGHLANDS RANCH",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80126-5749",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-270-0903",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11979 HOLLY ST",
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"PracticeLocationAddressCityName": "THORNTON",
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"PracticeLocationAddressTelephoneNumber": "720-739-0047",
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"EnumerationDate": "02/06/2019",
"LastUpdateDate": "09/05/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "APPELSIES",
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"AuthorizedOfficialTelephoneNumber": "317-270-0903",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}