{
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"IsOrgSubpart": "N",
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"OrgName": "DOCTORS PARK PHARMACY INC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "403 WESTERN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACKSONVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28546-6870",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-353-5733",
"MailingAddressFaxNumber": "910-577-1705",
"FirstLinePracticeLocationAddress": "403 WESTERN BLVD",
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"PracticeLocationAddressCityName": "JACKSONVILLE",
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"PracticeLocationAddressTelephoneNumber": "910-353-5733",
"PracticeLocationAddressFaxNumber": "910-577-1705",
"EnumerationDate": "11/21/2006",
"LastUpdateDate": "11/16/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SULLIVAN",
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"AuthorizedOfficialCredential": "RPH",
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"Taxonomies": {
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{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}