{
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"LastName": "DANIEL",
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"FirstLineMailingAddress": "15 E REDMAN AVE STE A",
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"MailingAddressCityName": "HADDONFIELD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08033-2316",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-428-1335",
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"FirstLinePracticeLocationAddress": "1605 E EVESHAM RD",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "VOORHEES",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-741-7100",
"PracticeLocationAddressFaxNumber": "856-424-2629",
"EnumerationDate": "03/01/2007",
"LastUpdateDate": "02/06/2020",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}