{
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"IsOrgSubpart": "N",
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"OrgName": "JOHN J. SOLOMON JR DO",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "2 WAKE ROBIN RD",
"SecondLineMailingAddress": "SUITE 104",
"MailingAddressCityName": "LINCOLN",
"MailingAddressStateName": "RI",
"MailingAddressPostalCode": "02865-4241",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-334-3331",
"MailingAddressFaxNumber": "401-334-9000",
"FirstLinePracticeLocationAddress": "2 WAKE ROBIN RD",
"SecondLinePracticeLocationAddress": "SUITE 104",
"PracticeLocationAddressCityName": "LINCOLN",
"PracticeLocationAddressStateName": "RI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-334-3331",
"PracticeLocationAddressFaxNumber": "401-334-9000",
"EnumerationDate": "02/27/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SOLOMON",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PHYSICIAN OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "DO",
"AuthorizedOfficialTelephoneNumber": "401-334-3331",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "DO00406",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}