{
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"FirstLineMailingAddress": "110 WEST ROAD",
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"FirstLinePracticeLocationAddress": "110 WEST ROAD",
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"PracticeLocationAddressFaxNumber": "410-296-6405",
"EnumerationDate": "01/22/2007",
"LastUpdateDate": "08/22/2020",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "PADILIA",
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"TaxonomyName": "Reproductive Endocrinology/Infertility Registered Nurse",
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}
},
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}
}
}
}