{
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"OrgName": "EAST COAST IMAGING ASSOC PA",
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"FirstLineMailingAddress": "301 WIDGEON DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMPSTEAD",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28443-2436",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-270-2108",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "301 WIDGEON DR",
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"PracticeLocationAddressStateName": "NC",
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"EnumerationDate": "07/16/2007",
"LastUpdateDate": "05/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FISCHER",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": "WILLIAM",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "910-270-2108",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Diagnostic Radiology Physician",
"LicenseNumber": "32236",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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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."
}
}
}
}