{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "NANDEL ENTERPRISES, INC.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1635 COUNTY ROAD C W",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROSEVILLE",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55113-1302",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-634-3668",
"MailingAddressFaxNumber": "651-634-9001",
"FirstLinePracticeLocationAddress": "1635 COUNTY ROAD C W",
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"PracticeLocationAddressCityName": "ROSEVILLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-634-3668",
"PracticeLocationAddressFaxNumber": "651-634-9001",
"EnumerationDate": "06/27/2007",
"LastUpdateDate": "05/30/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILSON",
"AuthorizedOfficialFirstName": "DELWIN",
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"AuthorizedOfficialCredential": "CERTIFIED PEDORTHIST",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}