{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "INSERRA SUPERMAKETS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "27 E MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RAMSEY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07446-1924",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-327-0033",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "27 E MAIN ST",
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"PracticeLocationAddressCityName": "RAMSEY",
"PracticeLocationAddressStateName": "NJ",
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"PracticeLocationAddressTelephoneNumber": "201-327-0033",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/17/2007",
"LastUpdateDate": "08/17/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAMPERT",
"AuthorizedOfficialFirstName": "CARY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF PHARMACY",
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"AuthorizedOfficialCredential": "RP",
"AuthorizedOfficialTelephoneNumber": "201-529-5927",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}