{
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"FirstLineMailingAddress": "106 BOW ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELKTON",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21921-5544",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-392-7072",
"MailingAddressFaxNumber": "410-382-9529",
"FirstLinePracticeLocationAddress": "106 BOW ST",
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"PracticeLocationAddressCityName": "ELKTON",
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"PracticeLocationAddressFaxNumber": "410-382-9529",
"EnumerationDate": "12/27/2006",
"LastUpdateDate": "04/15/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KARKI",
"AuthorizedOfficialFirstName": "SHYAM",
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"AuthorizedOfficialCredential": "PHARMD FCCP",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Institutional Pharmacy",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}