{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "NOEMI TAGUINOD DENTAL CORPORATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "408 S BEACH BLVD",
"SecondLineMailingAddress": "STE 113",
"MailingAddressCityName": "ANAHEIM",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92804-1853",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-816-0954",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "15617 STUDEBAKER RD STE 5",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORWALK",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90650-5471",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "562-484-3936",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/13/2007",
"LastUpdateDate": "05/02/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAGUINOD",
"AuthorizedOfficialFirstName": "NOEMI",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "562-484-3936",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}