{
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"EIN": null,
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"ParentOrgTIN": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "500 LINCOLN PARK BLVD STE 255",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KETTERING",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45429-3492",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "937-293-3800",
"MailingAddressFaxNumber": "937-293-9549",
"FirstLinePracticeLocationAddress": "2361 LAKEVIEW DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BEAVERCREEK",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "937-704-2130",
"PracticeLocationAddressFaxNumber": "937-703-2140",
"EnumerationDate": "03/17/2008",
"LastUpdateDate": "06/17/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIGANO",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "C",
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"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "937-293-3800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}