{
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"FirstLineMailingAddress": "700 HIGH STREET",
"SecondLineMailingAddress": "C/O WILLIAMSPORT AREA AMBULANCE SERVICE",
"MailingAddressCityName": "WILLIAMSPORT",
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"MailingAddressPostalCode": "17701-3109",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-321-2003",
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"FirstLinePracticeLocationAddress": "CORNER RAILROAD STREET AND WATER STREET",
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"EnumerationDate": "01/30/2006",
"LastUpdateDate": "01/10/2012",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADERHOLD",
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"Taxonomies": {
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}
},
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}
}