{
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"FirstLineMailingAddress": "3854 AMERICAN WAY",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "225-296-9678",
"FirstLinePracticeLocationAddress": "1030 REED AVE",
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"PracticeLocationAddressTelephoneNumber": "610-736-3590",
"PracticeLocationAddressFaxNumber": "610-736-3595",
"EnumerationDate": "11/16/2009",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BORNE",
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"AuthorizedOfficialTelephoneNumber": "225-292-2031",
"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}