{
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"IsOrgSubpart": "N",
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"OrgName": "CURTIS BARNETT DDS PLLC",
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"NameSuffix": null,
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"FirstLineMailingAddress": "13034 SE KENT KANGLEY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KENT",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98030-7965",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "253-631-6398",
"MailingAddressFaxNumber": "253-631-2281",
"FirstLinePracticeLocationAddress": "13034 SE KENT KANGLEY RD",
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"PracticeLocationAddressCityName": "KENT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-631-6398",
"PracticeLocationAddressFaxNumber": "253-631-2281",
"EnumerationDate": "01/05/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARNETT",
"AuthorizedOfficialFirstName": "CURTIS",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "PEDIATRIC DENTIST",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "253-631-6398",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223P0221X",
"TaxonomyName": "Pediatric Dentistry",
"LicenseNumber": "DE00007103",
"LicenseNumberStateCode": "WA",
"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."
}
}
}
}