{
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"IsOrgSubpart": "N",
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"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3563 QUEEN VICTORIA COURT",
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"MailingAddressStateName": "OH",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3563 QUEEN VICTORIA CT",
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"EnumerationDate": "09/15/2014",
"LastUpdateDate": "09/15/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCCLAMMA",
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"Taxonomies": {
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"TaxonomyName": "Ambulance",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}