{
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "Y",
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"OrgName": "BARCROFT DENTISTRY, LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "939 S WAKEFIELD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARLINGTON",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22204-3084",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-892-4525",
"MailingAddressFaxNumber": "703-892-4524",
"FirstLinePracticeLocationAddress": "939 S WAKEFIELD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARLINGTON",
"PracticeLocationAddressStateName": "VA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-892-4525",
"PracticeLocationAddressFaxNumber": "703-892-4524",
"EnumerationDate": "01/05/2018",
"LastUpdateDate": "01/05/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NGUYEN",
"AuthorizedOfficialFirstName": "HUNG",
"AuthorizedOfficialMiddleName": "MINH",
"AuthorizedOfficialTitle": "DOCTOR",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "703-892-4525",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "0401410232",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}