{
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"FirstLineMailingAddress": "27 MEADOW ST",
"SecondLineMailingAddress": "FLOOR 2",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "888-427-7448",
"FirstLinePracticeLocationAddress": "27 MEADOW ST",
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"PracticeLocationAddressFaxNumber": "888-427-7448",
"EnumerationDate": "08/17/2010",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHOK",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}