{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "SRPB INC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3501 SHORTCUT RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CALIFORNIA",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "41007-8471",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "859-448-0309",
"MailingAddressFaxNumber": "859-448-0312",
"FirstLinePracticeLocationAddress": "3501 SHORTCUT RD",
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"PracticeLocationAddressCityName": "CALIFORNIA",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "41007-8471",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "859-448-0309",
"PracticeLocationAddressFaxNumber": "859-448-0312",
"EnumerationDate": "10/10/2006",
"LastUpdateDate": "06/13/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLETTA",
"AuthorizedOfficialFirstName": "SAMUEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "859-394-2027",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "P07135",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}