{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "OFICINA DENTAL DRA LAURA DEL FIERRO C LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5302 CALLE CERRILLO",
"SecondLineMailingAddress": "AA3 RIVER VALLEY TOWN PARK",
"MailingAddressCityName": "CANOVANAS",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00729",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-887-3595",
"MailingAddressFaxNumber": "888-988-1781",
"FirstLinePracticeLocationAddress": "CENTRO COMERCIAL VILLAS DE RIO GRANDE",
"SecondLinePracticeLocationAddress": "CALLE PIMENTEL PRIMER PISO",
"PracticeLocationAddressCityName": "RIO GRANDE",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00745",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-887-3595",
"PracticeLocationAddressFaxNumber": "787-888-2007",
"EnumerationDate": "06/19/2014",
"LastUpdateDate": "09/03/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEL FIERRO",
"AuthorizedOfficialFirstName": "LAURA",
"AuthorizedOfficialMiddleName": "ALEJANDRA",
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"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "787-887-3595",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "2748",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}