{
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"OrgName": "HUSHANG GHODRAT, DDS, PA",
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"FirstLineMailingAddress": "1419 COLLEGE STREET",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "OXFORD",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27565",
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"MailingAddressTelephoneNumber": "919-693-9755",
"MailingAddressFaxNumber": "919-693-9067",
"FirstLinePracticeLocationAddress": "1419 COLLEGE STREET",
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"PracticeLocationAddressFaxNumber": "919-693-9067",
"EnumerationDate": "05/29/2007",
"LastUpdateDate": "06/17/2008",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRUMMITT",
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"AuthorizedOfficialMiddleName": "M.",
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"AuthorizedOfficialTelephoneNumber": "919-693-9755",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
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"LicenseNumberStateCode": "NC",
"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."
}
}
}
}