{
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"OrgName": "EXCEL DENTISTRY PLLC",
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"FirstLineMailingAddress": "6563 LAKETOWN PLACE",
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"MailingAddressCityName": "ALBERTVILLE",
"MailingAddressStateName": "MN",
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"FirstLinePracticeLocationAddress": "6563 LAKETOWNE PL",
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"PracticeLocationAddressTelephoneNumber": "952-746-3233",
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"EnumerationDate": "08/21/2009",
"LastUpdateDate": "08/21/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALASSY",
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"AuthorizedOfficialTitle": "PARTNER",
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"AuthorizedOfficialTelephoneNumber": "952-746-3233",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dentist",
"LicenseNumber": "D11992",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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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."
}
}
}
}