{
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"FirstLineMailingAddress": "2 OLD COUNTY RD",
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"FirstLinePracticeLocationAddress": "2 OLD COUNTY RD",
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"EnumerationDate": "04/29/2008",
"LastUpdateDate": "11/04/2010",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "CROSSLEY",
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}
},
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}
}