{
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"IsOrgSubpart": "N",
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "272 S COLLINS RD",
"SecondLineMailingAddress": "100",
"MailingAddressCityName": "SUNNYVALE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75182-4625",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-216-1871",
"MailingAddressFaxNumber": "972-216-1873",
"FirstLinePracticeLocationAddress": "272 S COLLINS RD",
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"PracticeLocationAddressCityName": "SUNNYVALE",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-216-1871",
"PracticeLocationAddressFaxNumber": "972-216-1873",
"EnumerationDate": "08/25/2010",
"LastUpdateDate": "08/25/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AHMED",
"AuthorizedOfficialFirstName": "SULMAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.M.D.",
"AuthorizedOfficialTelephoneNumber": "972-216-1871",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "22618",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"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."
}
}
}
}