{
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"FirstLineMailingAddress": "PO BOX 1554",
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"FirstLinePracticeLocationAddress": "SUNY @ STONY BROOK",
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"EnumerationDate": "05/24/2006",
"LastUpdateDate": "10/03/2013",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HENRY",
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"AuthorizedOfficialCredential": "M.D.",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}