{
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"OrgName": "MANEESHA CHIGURUPATI DDS, PLLC",
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"FirstLineMailingAddress": "819 JOHN CRESSLER DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEFFNER",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33584-3919",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "804-239-5824",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "117 KERNEYWOOD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKELAND",
"PracticeLocationAddressStateName": "FL",
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"PracticeLocationAddressTelephoneNumber": "863-687-2759",
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"EnumerationDate": "01/25/2022",
"LastUpdateDate": "01/25/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHIGURUPATI",
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"AuthorizedOfficialTitle": "DENTIST",
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"AuthorizedOfficialCredential": "DDS",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}