{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "STEVEN C THARP DDS PC",
"LastName": null,
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"FirstLineMailingAddress": "10S267 KAYE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILLOWBROOK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60527-6019",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-712-6521",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10171 W LINCOLN HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRANKFORT",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60423-1274",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/28/2013",
"LastUpdateDate": "01/28/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THARP",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "CASIMIR",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "815-712-6521",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "019.028356",
"LicenseNumberStateCode": "IL",
"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."
}
}
}
}