{
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"IsOrgSubpart": "N",
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"OrgName": "FLEXIBLE DENTAL SOLUTIONS AZ, L.L.C.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "7500 E ANGUS DR",
"SecondLineMailingAddress": "SUITE 1",
"MailingAddressCityName": "SCOTTSDALE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85251-6419",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-363-3166",
"MailingAddressFaxNumber": "480-945-0609",
"FirstLinePracticeLocationAddress": "7500 E ANGUS DR",
"SecondLinePracticeLocationAddress": "SUITE 1",
"PracticeLocationAddressCityName": "SCOTTSDALE",
"PracticeLocationAddressStateName": "AZ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-363-3166",
"PracticeLocationAddressFaxNumber": "480-945-0609",
"EnumerationDate": "12/05/2012",
"LastUpdateDate": "12/05/2012",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CERVANTES",
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"AuthorizedOfficialTelephoneNumber": "602-363-3166",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": "AZ2937",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}