{
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"EIN": null,
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"IsOrgSubpart": "N",
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"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "1674 KELLER PKWY",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-562-4141",
"MailingAddressFaxNumber": "817-562-4190",
"FirstLinePracticeLocationAddress": "1674 KELLER PKWY",
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"PracticeLocationAddressTelephoneNumber": "817-562-4141",
"PracticeLocationAddressFaxNumber": "817-562-4190",
"EnumerationDate": "02/21/2016",
"LastUpdateDate": "02/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ATTAR",
"AuthorizedOfficialFirstName": "SAYEED",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER / PARTNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.D.S, M.S.",
"AuthorizedOfficialTelephoneNumber": "817-562-4141",
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"Taxonomy": [
{
"TaxonomyCode": "261QD0000X",
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},
{
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},
{
"TaxonomyCode": "261QD0000X",
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"LicenseNumber": "24429",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}