{
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"FirstLineMailingAddress": "153 CHARLOTTE PL",
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"MailingAddressCityName": "ENGLEWOOD CLIFFS",
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"MailingAddressPostalCode": "07632-1616",
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"FirstLinePracticeLocationAddress": "13656 39TH AVE",
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"PracticeLocationAddressTelephoneNumber": "718-886-7575",
"PracticeLocationAddressFaxNumber": "718-886-7574",
"EnumerationDate": "04/21/2014",
"LastUpdateDate": "04/21/2014",
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"AuthorizedOfficialLastName": "SONG",
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"AuthorizedOfficialCredential": "MD",
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"Taxonomies": {
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"TaxonomyName": "Cardiovascular Disease Physician",
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}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}