{
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"FirstLineMailingAddress": "18947 JOHN J WILLIAMS HWY",
"SecondLineMailingAddress": "SUITE 309",
"MailingAddressCityName": "REHOBOTH BEACH",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19971-4474",
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"MailingAddressTelephoneNumber": "610-733-4300",
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"FirstLinePracticeLocationAddress": "18947 JOHN J WILLIAMS HWY",
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"EnumerationDate": "04/30/2013",
"LastUpdateDate": "05/04/2016",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DI CERBO",
"AuthorizedOfficialFirstName": "JESSICA",
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"AuthorizedOfficialTitle": "PEDIATRIC DENTIST",
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"AuthorizedOfficialCredential": "D.M.D.",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Pediatric Dentistry",
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"LicenseNumberStateCode": "DE",
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}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}