{
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"OrgName": "PAUL R BEER DDS.PC.",
"LastName": null,
"FirstName": null,
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"FirstLineMailingAddress": "50 S STEELE ST",
"SecondLineMailingAddress": "# 395",
"MailingAddressCityName": "DENVER",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80209-2805",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-322-7270",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "50 S STEELE ST",
"SecondLinePracticeLocationAddress": "# 395",
"PracticeLocationAddressCityName": "DENVER",
"PracticeLocationAddressStateName": "CO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-322-7270",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/09/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEER",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "R.",
"AuthorizedOfficialTitle": "DENTIST / PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DDS",
"AuthorizedOfficialTelephoneNumber": "303-322-7270",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "1-04772",
"LicenseNumberStateCode": "CO",
"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."
}
}
}
}