{
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"FirstLineMailingAddress": "5138 DEER PARK DR STE 102",
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"FirstLinePracticeLocationAddress": "5138 DEER PARK DR STE 102",
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"EnumerationDate": "11/02/2024",
"LastUpdateDate": "01/09/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VALLO",
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"AuthorizedOfficialTelephoneNumber": "412-389-0977",
"Taxonomies": {
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"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}