{
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"FirstLineMailingAddress": "5893 MAIN ST",
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"MailingAddressCityName": "TRUMBULL",
"MailingAddressStateName": "CT",
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"FirstLinePracticeLocationAddress": "94 WEDGEWOOD DR",
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"PracticeLocationAddressCityName": "MANCHESTER",
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"EnumerationDate": "01/17/2010",
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"GenderCode": null,
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"AuthorizedOfficialLastName": "SCHULMAN",
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"Taxonomies": {
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"TaxonomyName": "Vision Therapy Optometrist",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}