{
"Npi": {
"NPI": "1699117440",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "R.C. ENTERPRISE, P.L.L.C.",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": "6",
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"OtherFirstName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
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"FirstLineMailingAddress": "105 E 10TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POST FALLS",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83854-5125",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "208-773-8388",
"MailingAddressFaxNumber": "208-777-0346",
"FirstLinePracticeLocationAddress": "105 E 10TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "POST FALLS",
"PracticeLocationAddressStateName": "ID",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "208-773-8388",
"PracticeLocationAddressFaxNumber": "208-777-0346",
"EnumerationDate": "07/22/2013",
"LastUpdateDate": "07/22/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURNHAM",
"AuthorizedOfficialFirstName": "RHEANNA",
"AuthorizedOfficialMiddleName": "R.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "208-773-8388",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "D4332",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}