{
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"FirstLineMailingAddress": "PO BOX 392907",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PITTSBURGH",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15251-9907",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-962-1484",
"MailingAddressFaxNumber": "513-772-4464",
"FirstLinePracticeLocationAddress": "4326 MAIN AVE",
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"PracticeLocationAddressCityName": "ASHTABULA",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-992-7190",
"PracticeLocationAddressFaxNumber": "440-992-2691",
"EnumerationDate": "12/29/2008",
"LastUpdateDate": "05/13/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRUBER",
"AuthorizedOfficialFirstName": "SHAWN",
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"AuthorizedOfficialTelephoneNumber": "440-992-7190",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}