{
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"FirstLineMailingAddress": "800 OAKLAWN AVE",
"SecondLineMailingAddress": "SUITE C204",
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"MailingAddressTelephoneNumber": "401-942-3300",
"MailingAddressFaxNumber": "401-943-5492",
"FirstLinePracticeLocationAddress": "800 OAKLAWN AVE",
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"EnumerationDate": "06/15/2011",
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"GenderCode": null,
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"AuthorizedOfficialLastName": "MARTINS",
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"AuthorizedOfficialCredential": "PHD",
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"Taxonomies": {
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}