{
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"OrgName": "SWARTHMORE DENTAL ASSOCIATES, LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "801 YALE AVE",
"SecondLineMailingAddress": "SUITE 619",
"MailingAddressCityName": "SWARTHMORE",
"MailingAddressStateName": "PA",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-328-4817",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "801 YALE AVE",
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"EnumerationDate": "07/05/2016",
"LastUpdateDate": "07/05/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MINSK",
"AuthorizedOfficialFirstName": "LAURA",
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"AuthorizedOfficialTitle": "PERIODONTIST/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.M.D.",
"AuthorizedOfficialTelephoneNumber": "610-328-4815",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QD0000X",
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},
{
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}
]
},
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}
}