{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "REGARDING DENTISTRY, PLLC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "732 VISTA BLVD.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WACONIA",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55387-1333",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "952-442-2816",
"MailingAddressFaxNumber": "952-442-2821",
"FirstLinePracticeLocationAddress": "732 VISTA BLVD.",
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"PracticeLocationAddressCityName": "WACONIA",
"PracticeLocationAddressStateName": "MN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "952-442-2816",
"PracticeLocationAddressFaxNumber": "952-442-2821",
"EnumerationDate": "11/22/2005",
"LastUpdateDate": "05/08/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MENSER",
"AuthorizedOfficialFirstName": "LAURA",
"AuthorizedOfficialMiddleName": "B",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "952-442-2816",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "D7916",
"LicenseNumberStateCode": "MN",
"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."
}
}
}
}