{
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"OrgName": "WOMAN TO WOMAN PROFESSIONAL SERVICES",
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"FirstLineMailingAddress": "900 W MAIN ST STE 240",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FREEHOLD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07728-2156",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-308-2255",
"MailingAddressFaxNumber": "732-308-0081",
"FirstLinePracticeLocationAddress": "901 W MAIN ST",
"SecondLinePracticeLocationAddress": "STE 240 2ND FL",
"PracticeLocationAddressCityName": "FREEHOLD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07728-2537",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-308-2255",
"PracticeLocationAddressFaxNumber": "732-308-0081",
"EnumerationDate": "01/26/2011",
"LastUpdateDate": "01/08/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AUTRY",
"AuthorizedOfficialFirstName": "WAYNE",
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"AuthorizedOfficialTitle": "OFFICE ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "732-308-2255",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Obstetrics & Gynecology Physician",
"LicenseNumber": "069288",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}