{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "JACK T KRAUSER DMD PLLC",
"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": "824 US HIGHWAY 1 STE 370",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "N PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33408-3861",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "824 US HIGHWAY 1 STE 370",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "N PALM BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33408-3861",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-627-5560",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/24/2020",
"LastUpdateDate": "01/24/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KRASUSER",
"AuthorizedOfficialFirstName": "JACK",
"AuthorizedOfficialMiddleName": "T",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "561-627-5560",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}