{
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"ParentOrgTIN": null,
"OrgName": "ARTURO V. HERNANDEZ, D.D.S.",
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "3120 W 6TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90020-1702",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-469-5700",
"MailingAddressFaxNumber": "323-469-5703",
"FirstLinePracticeLocationAddress": "875 N WESTERN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOS ANGELES",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "323-469-5700",
"PracticeLocationAddressFaxNumber": "323-469-5703",
"EnumerationDate": "09/09/2008",
"LastUpdateDate": "01/29/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HERNANDEZ",
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"AuthorizedOfficialMiddleName": "VILLARAZA",
"AuthorizedOfficialTitle": "DENTIST-OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "213-351-7661",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Point of Service",
"LicenseNumber": "31925",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}