{
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BRUNI DENTAL, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "110 AUDERER BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WAVELAND",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39576-2432",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "228-270-0044",
"MailingAddressFaxNumber": "228-270-0047",
"FirstLinePracticeLocationAddress": "110 AUDERER BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAVELAND",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39576-2432",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "228-270-0044",
"PracticeLocationAddressFaxNumber": "228-270-0047",
"EnumerationDate": "03/14/2023",
"LastUpdateDate": "03/14/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRUNI",
"AuthorizedOfficialFirstName": "CATHERINE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "228-270-0044",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}