{
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"FirstLineMailingAddress": "320 MAIN ST",
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"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06032-2961",
"MailingAddressCountryCode": "US",
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"PracticeLocationAddressFaxNumber": "860-676-2292",
"EnumerationDate": "09/02/2006",
"LastUpdateDate": "08/22/2020",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "NADEAU",
"AuthorizedOfficialFirstName": "MONIQUE",
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"AuthorizedOfficialCredential": "DMD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "General Practice Dentistry",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}