{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "CAPITAL HEALTH SYSTEMS",
"LastName": null,
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"FirstLineMailingAddress": "1401 WHITEHORSE MERCERVILLE RD",
"SecondLineMailingAddress": "INSTIUTE FOR NEUROSCIENCE",
"MailingAddressCityName": "MERCERVILLE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08619-3817",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-528-8888",
"MailingAddressFaxNumber": "609-584-5151",
"FirstLinePracticeLocationAddress": "1401 WHITEHORSE MERCERVILLE RD",
"SecondLinePracticeLocationAddress": "INSTIUTE FOR NEUROSCIENCE",
"PracticeLocationAddressCityName": "MERCERVILLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-528-8888",
"PracticeLocationAddressFaxNumber": "609-584-5151",
"EnumerationDate": "12/01/2006",
"LastUpdateDate": "08/09/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GONZALEZ",
"AuthorizedOfficialFirstName": "RONALD",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "609-528-8888",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Specialist",
"LicenseNumber": "MA50235",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}