{
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"EIN": null,
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"FirstLineMailingAddress": "6 GRISTMIL RD.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RANDOLPH",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "973-361-2923",
"FirstLinePracticeLocationAddress": "6 GRISTMIL RD.",
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"PracticeLocationAddressCityName": "RANDOLPH",
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"PracticeLocationAddressTelephoneNumber": "973-361-7146",
"PracticeLocationAddressFaxNumber": "973-361-2923",
"EnumerationDate": "07/23/2010",
"LastUpdateDate": "07/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"LicenseNumber": "37FI00139700",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}