{
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"OrgName": "POOJA MALIK,DDS,INC.",
"LastName": null,
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"FirstLineMailingAddress": "2271 GOLDENROD LN",
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"MailingAddressCityName": "SAN RAMON",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94582-5536",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "185 FRONT ST",
"SecondLinePracticeLocationAddress": "ST 105",
"PracticeLocationAddressCityName": "DANVILLE",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressTelephoneNumber": "510-579-4981",
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"EnumerationDate": "11/13/2013",
"LastUpdateDate": "11/13/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MALIK",
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"AuthorizedOfficialTitle": "DENTIST",
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"AuthorizedOfficialTelephoneNumber": "510-579-4981",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "54017",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}