{
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"IsOrgSubpart": "N",
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"OrgName": "FRIENDLY FAMILY PHARMACY, LLC DBA FRIENDLY FAMILY PHARMACY PAW CREEK",
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"FirstName": null,
"MiddleName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "517 LITTLE ROCK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHARLOTTE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28214-1915",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-531-5881",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "517 LITTLE ROCK RD",
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"PracticeLocationAddressCityName": "CHARLOTTE",
"PracticeLocationAddressStateName": "NC",
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"PracticeLocationAddressTelephoneNumber": "704-531-5881",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/19/2014",
"LastUpdateDate": "03/19/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NGUYEN",
"AuthorizedOfficialFirstName": "DIEM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACY MANAGER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "704-531-5881",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}