{
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"FirstLineMailingAddress": "132 OLD RIVER RD",
"SecondLineMailingAddress": "STE 201",
"MailingAddressCityName": "LINCOLN",
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"MailingAddressPostalCode": "02865-1161",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-721-5599",
"MailingAddressFaxNumber": "401-721-5597",
"FirstLinePracticeLocationAddress": "132 OLD RIVER RD STE 201",
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"PracticeLocationAddressCityName": "LINCOLN",
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"PracticeLocationAddressFaxNumber": "401-721-5597",
"EnumerationDate": "10/15/2007",
"LastUpdateDate": "06/03/2011",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PAILTHORPE",
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"AuthorizedOfficialCredential": "CPO",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Optometrist",
"LicenseNumber": "ODTA00468",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}