{
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"IsOrgSubpart": "N",
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"FirstLineMailingAddress": "20 WHITE RD STE B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHREWSBURY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07702-4039",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-747-4723",
"MailingAddressFaxNumber": "732-747-5998",
"FirstLinePracticeLocationAddress": "20 WHITE RD",
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"PracticeLocationAddressTelephoneNumber": "732-747-4723",
"PracticeLocationAddressFaxNumber": "732-747-5998",
"EnumerationDate": "03/20/2006",
"LastUpdateDate": "07/01/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FAROOQUI",
"AuthorizedOfficialFirstName": "SHAHID",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "732-747-4723",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "MA50568",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}