{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "BLOOMINGTON TOWNSHIP DEPARTMENT OF FIRE AND EMERGENCY SERVICES",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "5081 N OLD STATE ROAD 37",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLOOMINGTON",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47408-9240",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-339-1115",
"MailingAddressFaxNumber": "812-339-1120",
"FirstLinePracticeLocationAddress": "5081 N OLD STATE ROAD 37",
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"PracticeLocationAddressCityName": "BLOOMINGTON",
"PracticeLocationAddressStateName": "IN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-339-1115",
"PracticeLocationAddressFaxNumber": "812-339-1120",
"EnumerationDate": "12/07/2009",
"LastUpdateDate": "12/07/2009",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LIVINGSTON",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "812-339-1115",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ambulance",
"LicenseNumber": "0280",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}