{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BIANCARELLIS PHARMACY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1318 MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PECKVILLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18452-2000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-382-8570",
"MailingAddressFaxNumber": "570-382-3478",
"FirstLinePracticeLocationAddress": "1318 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PECKVILLE",
"PracticeLocationAddressStateName": "PA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-382-8570",
"PracticeLocationAddressFaxNumber": "570-382-3478",
"EnumerationDate": "08/25/2016",
"LastUpdateDate": "12/05/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BIANCARELLI",
"AuthorizedOfficialFirstName": "BRUCE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "R.PH.",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "570-382-8570",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}