{
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"OrgName": "WALKER W. SHIVAR, D.D.S. ANTHONY R. PELUSO, D.D.S. HOLLY H. ANDERSEN,",
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"FirstLineMailingAddress": "302 E LITTLE CREEK RD",
"SecondLineMailingAddress": "SUITE 300",
"MailingAddressCityName": "NORFOLK",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23505-2603",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-424-5308",
"MailingAddressFaxNumber": "757-424-1708",
"FirstLinePracticeLocationAddress": "302 E LITTLE CREEK RD",
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"PracticeLocationAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "757-424-1708",
"EnumerationDate": "05/03/2007",
"LastUpdateDate": "06/24/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "KIRCHEVAL",
"AuthorizedOfficialFirstName": "ROBIN",
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"AuthorizedOfficialTelephoneNumber": "757-420-4035",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223X0400X",
"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": "5426",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
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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."
}
}
}
}