{
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"FirstLineMailingAddress": "1539 ATWOOD AVENUE",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "JOHNSTON",
"MailingAddressStateName": "RI",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-521-6310",
"MailingAddressFaxNumber": "401-861-9596",
"FirstLinePracticeLocationAddress": "1539 ATWOOD AVENUE",
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"PracticeLocationAddressTelephoneNumber": "401-521-6310",
"PracticeLocationAddressFaxNumber": "401-861-9596",
"EnumerationDate": "07/25/2006",
"LastUpdateDate": "12/04/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LENTRICHIA",
"AuthorizedOfficialFirstName": "PAUL",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "401-521-6310",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Surgery Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}