{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "RONALD RAY D.D.S., P.C.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "43930 FARMWELL HUNT PLZ",
"SecondLineMailingAddress": "SUITE 136",
"MailingAddressCityName": "ASHBURN",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "20147-5828",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-858-0045",
"MailingAddressFaxNumber": "703-858-0047",
"FirstLinePracticeLocationAddress": "43930 FARMWELL HUNT PLZ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-858-0045",
"PracticeLocationAddressFaxNumber": "703-858-0047",
"EnumerationDate": "09/26/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAY",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "703-858-0045",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "0401007575",
"LicenseNumberStateCode": "VA",
"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."
}
}
}
}