{
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"OrgName": "HANNY K. ZAKHARI, DMD, PA",
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"FirstLineMailingAddress": "401 5TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "INDIALANTIC",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32903-4240",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-727-8822",
"MailingAddressFaxNumber": "321-727-0074",
"FirstLinePracticeLocationAddress": "401 5TH AVE",
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"PracticeLocationAddressCityName": "INDIALANTIC",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-727-8822",
"PracticeLocationAddressFaxNumber": "321-727-0074",
"EnumerationDate": "02/15/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ZAKHARI",
"AuthorizedOfficialFirstName": "HANNY",
"AuthorizedOfficialMiddleName": "K",
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"AuthorizedOfficialCredential": "DMD",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "DN12436",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"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."
}
}
}
}