{
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"FirstLineMailingAddress": "70 MAIN ST UNIT 200",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "NH",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "63 LITTLE RIVER RD",
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"PracticeLocationAddressCityName": "HAMPTON",
"PracticeLocationAddressStateName": "NH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "603-918-9973",
"PracticeLocationAddressFaxNumber": "603-259-4780",
"EnumerationDate": "11/02/2020",
"LastUpdateDate": "11/18/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHICHESTER",
"AuthorizedOfficialFirstName": "MARTHA",
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"AuthorizedOfficialCredential": "NP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nurse Practitioner",
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"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}