{
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"FirstLineMailingAddress": "886 CAMPBELL AVE",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "475-766-5454",
"MailingAddressFaxNumber": "475-766-5481",
"FirstLinePracticeLocationAddress": "886 CAMPBELL AVE",
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"EnumerationDate": "04/20/2024",
"LastUpdateDate": "09/02/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NOMANI",
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"AuthorizedOfficialTelephoneNumber": "475-766-5454",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}