{
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"EIN": null,
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"OrgName": "PEQUANNOCK TOWNSHIP",
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"NamePrefix": null,
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"Credential": null,
"OtherOrgName": null,
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"FirstLineMailingAddress": "530 NEWARK POMPTON TPKE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POMPTON PLAINS",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07444-1744",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-835-5700",
"MailingAddressFaxNumber": "973-835-4328",
"FirstLinePracticeLocationAddress": "530 NEWARK POMPTON TPKE",
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"PracticeLocationAddressCityName": "POMPTON PLAINS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-835-5700",
"PracticeLocationAddressFaxNumber": "973-835-4328",
"EnumerationDate": "11/28/2007",
"LastUpdateDate": "10/29/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CORREALE",
"AuthorizedOfficialFirstName": "PETER",
"AuthorizedOfficialMiddleName": "LEONARD",
"AuthorizedOfficialTitle": "HEALTH OFFICER",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "973-835-5700",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}