{
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"FirstLineMailingAddress": "375 N MAIN ST STE C-1C2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILLIAMSTOWN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08094-1481",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "484-397-1928",
"MailingAddressFaxNumber": "856-997-8559",
"FirstLinePracticeLocationAddress": "3338 CIRCLE BROOK DR",
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"PracticeLocationAddressCityName": "ROANOKE",
"PracticeLocationAddressStateName": "VA",
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"EnumerationDate": "09/13/2018",
"LastUpdateDate": "09/13/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "PARIKH",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Internal Medicine Physician",
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"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."
}
}
}
}