{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "KEVIN D. DAUGHERTY, DMD AND SAVANNAH H. DAUGHTERY. DMD, PA",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1700 OLD VILLAGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HENDERSONVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28791-3736",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-693-5190",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1700 OLD VILLAGE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HENDERSONVILLE",
"PracticeLocationAddressStateName": "NC",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "828-693-5190",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/29/2017",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAUGHERTY",
"AuthorizedOfficialFirstName": "SAVANNAH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DOCTOR",
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"AuthorizedOfficialCredential": "DMD",
"AuthorizedOfficialTelephoneNumber": "828-693-5190",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "9396",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}