{
"Npi": {
"NPI": "1609200609",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PINNACLE DENTAL CENTERS LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "527 S BARTLETT RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STREAMWOOD",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60107-1309",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-289-5727",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "527 S BARTLETT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STREAMWOOD",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60107-1309",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-289-5727",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/26/2013",
"LastUpdateDate": "08/26/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOOLEY",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "LAWRENCE",
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "847-602-5068",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "248.000858",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}