{
"Npi": {
"NPI": "1528521671",
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "GULF BREEZE FAMILY DENTISTRY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6019 E CAMBRIDGE WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PACE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32571-7375",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-375-8098",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1371 COUNTRY CLUB RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GULF BREEZE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32563-3451",
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"PracticeLocationAddressTelephoneNumber": "850-375-8098",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/07/2019",
"LastUpdateDate": "04/07/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OBROCHTA",
"AuthorizedOfficialFirstName": "MELISSA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "850-375-8098",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}