{
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"FirstLineMailingAddress": "201 MEETING HOUSE LN",
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"MailingAddressCityName": "MERION STATION",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19066-1211",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "610-667-2438",
"FirstLinePracticeLocationAddress": "101 PROSPECT ST STE 200",
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"PracticeLocationAddressCityName": "LAKEWOOD",
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"EnumerationDate": "09/07/2018",
"LastUpdateDate": "09/07/2018",
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"AuthorizedOfficialLastName": "FRIEDMAN",
"AuthorizedOfficialFirstName": "SHOLOM",
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"AuthorizedOfficialCredential": "DMD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": "22DI02186300",
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}
},
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}
}
}
}