{
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"OrgName": "DAVID T. VAN ZANT DDS INC.",
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"FirstLineMailingAddress": "2125 ROMBACH AVE",
"SecondLineMailingAddress": "PO BOX 272",
"MailingAddressCityName": "WILMINGTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45177-2099",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2125 ROMBACH AVE",
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"PracticeLocationAddressCityName": "WILMINGTON",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressTelephoneNumber": "937-382-2627",
"PracticeLocationAddressFaxNumber": "937-382-0647",
"EnumerationDate": "01/20/2010",
"LastUpdateDate": "01/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VAN ZANT",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "937-382-2627",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dentist",
"LicenseNumber": "19451",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}