{
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"FirstLineMailingAddress": "17 RIVERSIDE ST",
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"PracticeLocationAddressFaxNumber": "603-882-3936",
"EnumerationDate": "08/31/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "DONOVAN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Otolaryngology Physician",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}