{
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "8415 N 125TH EAST AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OWASSO",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74055-2161",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-272-0031",
"MailingAddressFaxNumber": "918-272-0041",
"FirstLinePracticeLocationAddress": "8415 N 125TH EAST AVE",
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"PracticeLocationAddressCityName": "OWASSO",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-272-0031",
"PracticeLocationAddressFaxNumber": "918-272-0041",
"EnumerationDate": "07/12/2007",
"LastUpdateDate": "02/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOYD",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "918-272-0031",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}