{
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"FirstLineMailingAddress": "48 AUBURN ST",
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"MailingAddressCityName": "AUBURN",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01501-2438",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-832-6278",
"MailingAddressFaxNumber": "508-832-6133",
"FirstLinePracticeLocationAddress": "48 AUBURN ST",
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"PracticeLocationAddressFaxNumber": "508-832-6133",
"EnumerationDate": "01/18/2007",
"LastUpdateDate": "08/22/2020",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FIELDMAN",
"AuthorizedOfficialFirstName": "BRUCE",
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"AuthorizedOfficialCredential": "D.M.D.",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223P0221X",
"TaxonomyName": "Pediatric Dentistry",
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}
},
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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."
}
}
}
}