{
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"FirstLineMailingAddress": "557 MAIN ST STE 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORANGE",
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"MailingAddressPostalCode": "07050-1584",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "908-287-9444",
"MailingAddressFaxNumber": "908-417-5020",
"FirstLinePracticeLocationAddress": "557 MAIN ST STE 2",
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"PracticeLocationAddressCityName": "ORANGE",
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"PracticeLocationAddressFaxNumber": "908-417-5020",
"EnumerationDate": "02/24/2022",
"LastUpdateDate": "04/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TIENORD",
"AuthorizedOfficialFirstName": "RONALD",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "347-339-5444",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}