{
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"FirstLineMailingAddress": "102 PROGRESS DR",
"SecondLineMailingAddress": "SUITE 202",
"MailingAddressCityName": "DOYLESTOWN",
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"MailingAddressPostalCode": "18901-2516",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "215-345-8173",
"FirstLinePracticeLocationAddress": "102 PROGRESS DR",
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"EnumerationDate": "06/25/2007",
"LastUpdateDate": "05/05/2011",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARINO",
"AuthorizedOfficialFirstName": "JOHN",
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"Taxonomies": {
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"TaxonomyName": "Chiropractor",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}