{
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"FirstLineMailingAddress": "290 S LIVINGSTON AVE",
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"EnumerationDate": "06/14/2006",
"LastUpdateDate": "09/14/2007",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "STOLMAN",
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"Taxonomies": {
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"TaxonomyName": "MOHS-Micrographic Surgery Physician",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}