{
"Npi": {
"NPI": "1871015040",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AGATA A PIKULA DDS PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1420 3RD ST SE # 104",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PUYALLUP",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98372-3730",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "253-697-0201",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1420 3RD ST SE # 104",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PUYALLUP",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98372-3730",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-697-0201",
"PracticeLocationAddressFaxNumber": "253-697-0399",
"EnumerationDate": "07/10/2017",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PIKULA",
"AuthorizedOfficialFirstName": "AGATA",
"AuthorizedOfficialMiddleName": "AGNIESZKA",
"AuthorizedOfficialTitle": "DENTIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "253-697-0201",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "DE60591198",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}