{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MERCY AMBULANCE SERVICE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1988",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROOKLINE",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02446-0017",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "617-202-6106",
"MailingAddressFaxNumber": "617-202-6107",
"FirstLinePracticeLocationAddress": "9 BRISTOL DR",
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"PracticeLocationAddressCityName": "EASTON",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02375-1109",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "617-202-6106",
"PracticeLocationAddressFaxNumber": "617-202-6107",
"EnumerationDate": "12/28/2005",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "APELSTEIN",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT AND CEO",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "617-202-6106",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Ambulance",
"LicenseNumber": "3047",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}