{
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"FirstLineMailingAddress": "628 STRATTON DR",
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"MailingAddressCityName": "EAST STROUDSBURG",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18302-6723",
"MailingAddressCountryCode": "US",
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"PracticeLocationAddressCityName": "ROCHESTER",
"PracticeLocationAddressStateName": "NY",
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"EnumerationDate": "06/25/2012",
"LastUpdateDate": "06/25/2012",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CAMERON",
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"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialCredential": "LPN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Licensed Practical Nurse",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}