{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SUNSET DENTAL PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"FirstLineMailingAddress": "1001 HIGHLAND PARK AVE",
"SecondLineMailingAddress": "STE G",
"MailingAddressCityName": "MISSION",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78572-4452",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "956-585-1711",
"MailingAddressFaxNumber": "956-584-8529",
"FirstLinePracticeLocationAddress": "401 HOOKS AVE",
"SecondLinePracticeLocationAddress": "STE E",
"PracticeLocationAddressCityName": "DONNA",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78537-3036",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "956-464-2223",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/08/2008",
"LastUpdateDate": "07/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CANALES",
"AuthorizedOfficialFirstName": "TOMAS",
"AuthorizedOfficialMiddleName": "ADOLFO",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "956-464-2223",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "14908",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}