{
"Npi": {
"NPI": "1902228257",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "16:3 DENTAL, PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "27487 W HIGHWAY 84",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MC GREGOR",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76657-3717",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-848-9566",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "513 E YEAGUA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GROESBECK",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76642-1578",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-255-4071",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/06/2014",
"LastUpdateDate": "01/06/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BABER",
"AuthorizedOfficialFirstName": "SAMUEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "254-848-9566",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "25535",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}