{
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"OrgName": "OAKLAND GASTROENTEROLOGY ASSOCIATES, P.C.",
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"FirstLineMailingAddress": "3535 W 13 MILE RD",
"SecondLineMailingAddress": "SUITE 202",
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"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48073-6770",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-551-0900",
"MailingAddressFaxNumber": "248-551-0905",
"FirstLinePracticeLocationAddress": "3535 W 13 MILE RD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-551-0900",
"PracticeLocationAddressFaxNumber": "248-551-0905",
"EnumerationDate": "09/21/2006",
"LastUpdateDate": "05/05/2014",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POLIDORI",
"AuthorizedOfficialFirstName": "GREGG",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Gastroenterology Physician",
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"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}