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"FirstLineMailingAddress": "1100 ROUTE 70",
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"EnumerationDate": "06/24/2006",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "MALMBERG",
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"AuthorizedOfficialCredential": "APN-C",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}