{
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"FirstLineMailingAddress": "357 OLEAN RD",
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"MailingAddressCityName": "CORSICA",
"MailingAddressStateName": "PA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "357 OLEAN RD",
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"PracticeLocationAddressCityName": "CORSICA",
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"EnumerationDate": "01/31/2016",
"LastUpdateDate": "01/31/2016",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SIEBKA",
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"Taxonomy": {
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"TaxonomyName": "Dental Hygienist",
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"PrimaryTaxonomySwitch": "Y"
}
},
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}