{
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"FirstLineMailingAddress": "3754 HAWKHURST CLOSE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHADDS FORD",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19317-8916",
"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "1601 CONCORD PIKE",
"SecondLinePracticeLocationAddress": "SUITES 92-100",
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"PracticeLocationAddressStateName": "DE",
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"EnumerationDate": "04/05/2012",
"LastUpdateDate": "04/05/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "TRAINOR",
"AuthorizedOfficialFirstName": "ANGELA",
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"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "610-513-0601",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Clinical Social Worker",
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"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}