{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "NATHAN GUILFORD D.D.S., P.C.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "7640 NW EXPRESSWAY STE 207",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OKLAHOMA CITY",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73132-1622",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-789-6935",
"MailingAddressFaxNumber": "405-789-6987",
"FirstLinePracticeLocationAddress": "7640 NW EXPRESSWAY STE 207",
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"PracticeLocationAddressCityName": "OKLAHOMA CITY",
"PracticeLocationAddressStateName": "OK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-789-6935",
"PracticeLocationAddressFaxNumber": "405-789-6987",
"EnumerationDate": "04/11/2007",
"LastUpdateDate": "04/23/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUILFORD",
"AuthorizedOfficialFirstName": "NATHAN",
"AuthorizedOfficialMiddleName": "DAVIS",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "405-789-6935",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "5547",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}