{
  "npi": "1891865507",
  "enumeration_type": "NPI-2",
  "basic": {
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    "authorized_official_first_name": "WILLIAM",
    "authorized_official_last_name": "SOCKMAN",
    "authorized_official_middle_name": "PAUL",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
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    "authorized_official_title_or_position": "President",
    "enumeration_date": "2006-11-09",
    "last_updated": "2025-09-11",
    "organization_name": "ASHTABULA DENTAL ASSOCIATES, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
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    {
      "address_1": "5005 STATE RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
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      "country_code": "US",
      "country_name": "United States",
      "fax_number": "440-998-6932",
      "postal_code": "440046265",
      "state": "OH",
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    },
    {
      "address_1": "5005 STATE RD",
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      "state": null,
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    },
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    },
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      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
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      "code": "1223S0112X",
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      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
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      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "124Q00000X",
      "desc": "Dental Hygienist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "126800000X",
      "desc": "Dental Assistant",
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      "state": null,
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    }
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      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Dental Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}