{
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"OrgName": "PRIMECARE FAMILY MEDICINE",
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"FirstLineMailingAddress": "57 NORTH ST STE 422423",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "CT",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "57 NORTH ST STE 422423",
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"PracticeLocationAddressTelephoneNumber": "203-746-2436",
"PracticeLocationAddressFaxNumber": "203-746-3205",
"EnumerationDate": "09/11/2026",
"LastUpdateDate": "09/11/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GILLES",
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"Taxonomies": {
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"TaxonomyName": "Primary Care Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}