{
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"EIN": null,
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"OtherLastName": "PHILLIPS",
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"FirstLineMailingAddress": "625 CHERRY TREE LN",
"SecondLineMailingAddress": "SUITE 102",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-438-4300",
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"FirstLinePracticeLocationAddress": "625 CHERRY TREE LN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-438-4300",
"PracticeLocationAddressFaxNumber": "724-438-4700",
"EnumerationDate": "10/12/2006",
"LastUpdateDate": "08/20/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
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"TaxonomyName": "Nurse Practitioner",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}