{
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"OrgName": "M N R RUDRA INC.",
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"FirstLineMailingAddress": "2930 MANNHEIM RD",
"SecondLineMailingAddress": "STE 3",
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"MailingAddressStateName": "IL",
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"FirstLinePracticeLocationAddress": "2930 MANNHEIM RD",
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"EnumerationDate": "08/03/2010",
"LastUpdateDate": "08/03/2010",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PANDYA",
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"AuthorizedOfficialCredential": "DC",
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"Taxonomies": {
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"TaxonomyName": "Physical Therapist",
"LicenseNumber": "038009513",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}