{
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"FirstLineMailingAddress": "421 MARYLAND AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAMBRIDGE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21613-1927",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-221-0781",
"MailingAddressFaxNumber": "410-476-3400",
"FirstLinePracticeLocationAddress": "421 MARYLAND AVE",
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"PracticeLocationAddressCityName": "CAMBRIDGE",
"PracticeLocationAddressStateName": "MD",
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"PracticeLocationAddressTelephoneNumber": "410-221-0781",
"PracticeLocationAddressFaxNumber": "410-476-3400",
"EnumerationDate": "12/13/2006",
"LastUpdateDate": "04/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FENERTY",
"AuthorizedOfficialFirstName": "TERRANCE",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "410-221-0781",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Rehabilitation Chiropractor",
"LicenseNumber": "004731",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}