{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "SHAPIRO FAMILY DENTISTRY",
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"FirstLineMailingAddress": "2247 PALM BEACH LAKES BLVD STE 104",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33409-3408",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-684-2282",
"MailingAddressFaxNumber": "561-616-2556",
"FirstLinePracticeLocationAddress": "2247 PALM BEACH LAKES BLVD STE 104",
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"PracticeLocationAddressCityName": "WEST PALM BEACH",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-684-2282",
"PracticeLocationAddressFaxNumber": "561-616-2556",
"EnumerationDate": "06/25/2008",
"LastUpdateDate": "06/25/2008",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHAPIRO",
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"AuthorizedOfficialMiddleName": "S.",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "561-684-2282",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "DN 15327 FL",
"LicenseNumberStateCode": "FL",
"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."
}
}
}
}