{
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"OrgName": "TULLA PEREZ INC",
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"FirstLineMailingAddress": "38 TOMMYS LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW CANAAN",
"MailingAddressStateName": "CT",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-972-3802",
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"FirstLinePracticeLocationAddress": "39 PINE ST",
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"PracticeLocationAddressCityName": "NEW CANAAN",
"PracticeLocationAddressStateName": "CT",
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"PracticeLocationAddressTelephoneNumber": "203-972-7546",
"PracticeLocationAddressFaxNumber": "203-972-5937",
"EnumerationDate": "08/20/2013",
"LastUpdateDate": "04/11/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEREZ",
"AuthorizedOfficialFirstName": "MARITZA",
"AuthorizedOfficialMiddleName": "IVONNE",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "203-984-3101",
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{
"TaxonomyCode": "261QH0100X",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}