{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "DD PITCHER LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "30 OFFICE PARK WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PITTSFORD",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14534-1734",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "585-586-9063",
"MailingAddressFaxNumber": "585-586-1478",
"FirstLinePracticeLocationAddress": "30 OFFICE PARK WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PITTSFORD",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "585-586-9063",
"PracticeLocationAddressFaxNumber": "585-586-1478",
"EnumerationDate": "10/27/2016",
"LastUpdateDate": "10/27/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PITCHER",
"AuthorizedOfficialFirstName": "DONALD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PARTNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "585-586-9063",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS0112X",
"TaxonomyName": "Oral and Maxillofacial Surgery Clinic/Center",
"LicenseNumber": "058771",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}