{
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"EIN": null,
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"FirstLineMailingAddress": "1115 GARFIELD AVE",
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"MailingAddressCityName": "CHERRY HILL",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08002-1026",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "701 W SOMERDALE RD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-504-3150",
"PracticeLocationAddressFaxNumber": "856-504-3157",
"EnumerationDate": "08/04/2011",
"LastUpdateDate": "08/04/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "46TR00185500",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}