{
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"FirstLineMailingAddress": "295 S PLUMOSA ST",
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"EnumerationDate": "08/16/2023",
"LastUpdateDate": "08/16/2023",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "FERRERA",
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"AuthorizedOfficialCredential": "DMD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}