{
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"FirstName": null,
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"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "954 MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AGAWAM",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01001-2531",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "413-726-2835",
"MailingAddressFaxNumber": "413-789-4092",
"FirstLinePracticeLocationAddress": "954 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AGAWAM",
"PracticeLocationAddressStateName": "MA",
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"PracticeLocationAddressTelephoneNumber": "413-726-2835",
"PracticeLocationAddressFaxNumber": "413-789-4092",
"EnumerationDate": "09/14/2018",
"LastUpdateDate": "09/14/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PLACZEK",
"AuthorizedOfficialFirstName": "LAUREL",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "413-726-9712",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174200000X",
"TaxonomyName": "Meals Provider",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}