{
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"NPI": "1811121114",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "DR.S SULLIVAN, KAIHARA & WATKINS",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
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"FirstLineMailingAddress": "2440 M ST NW STE 610",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WASHINGTON",
"MailingAddressStateName": "DC",
"MailingAddressPostalCode": "20037-1497",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "202-466-3333",
"MailingAddressFaxNumber": "202-466-4155",
"FirstLinePracticeLocationAddress": "6845 ELM ST STE 475",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MC LEAN",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22101-6051",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-356-3556",
"PracticeLocationAddressFaxNumber": "703-356-3804",
"EnumerationDate": "05/14/2009",
"LastUpdateDate": "05/15/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAIHARA",
"AuthorizedOfficialFirstName": "GARY",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "202-466-3333",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223P0700X",
"TaxonomyName": "Prosthodontics",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}