{
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"FirstLineMailingAddress": "3121 WILMINGTON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW CASTLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "16105-1161",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-656-3410",
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"FirstLinePracticeLocationAddress": "3121 WILMINGTON RD",
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"PracticeLocationAddressCityName": "NEW CASTLE",
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"PracticeLocationAddressFaxNumber": "724-652-9282",
"EnumerationDate": "06/20/2011",
"LastUpdateDate": "06/20/2011",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EHALT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "412-647-0943",
"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}