{
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"FirstLineMailingAddress": "785 5TH AVE",
"SecondLineMailingAddress": "SUITE 3",
"MailingAddressCityName": "CHAMBERSBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17201-4232",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-263-9555",
"MailingAddressFaxNumber": "717-217-4218",
"FirstLinePracticeLocationAddress": "144 S 8TH ST",
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"PracticeLocationAddressCityName": "CHAMBERSBURG",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-264-6511",
"PracticeLocationAddressFaxNumber": "717-264-1081",
"EnumerationDate": "06/30/2005",
"LastUpdateDate": "10/30/2014",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "M",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}