{
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"EIN": null,
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"OrgName": "SAFETY DRUGS OF METUCHEN",
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"FirstLineMailingAddress": "PO BOX 4345",
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"MailingAddressCityName": "METUCHEN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08840-4345",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-548-0123",
"MailingAddressFaxNumber": "732-906-9205",
"FirstLinePracticeLocationAddress": "412 MAIN STREET",
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"PracticeLocationAddressCityName": "METUCHEN",
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"PracticeLocationAddressTelephoneNumber": "732-548-0123",
"PracticeLocationAddressFaxNumber": "732-906-9205",
"EnumerationDate": "01/05/2006",
"LastUpdateDate": "02/01/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GELLIS",
"AuthorizedOfficialFirstName": "RON",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "732-548-0123",
"Taxonomies": {
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"TaxonomyName": "Pharmacy",
"LicenseNumber": "28RS00420600",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}