{
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"FirstLineMailingAddress": "17015 OLD ORCHARD ROAD",
"SecondLineMailingAddress": "UNIT 4",
"MailingAddressCityName": "LEWES",
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"MailingAddressPostalCode": "19958",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "302-644-3466",
"MailingAddressFaxNumber": "302-258-0300",
"FirstLinePracticeLocationAddress": "17015 OLD ORCHARD ROAD",
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"PracticeLocationAddressFaxNumber": "302-258-0300",
"EnumerationDate": "08/30/2006",
"LastUpdateDate": "03/13/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARROLL",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ambulatory Surgical Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}