{
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"OrgName": "CITY OF WOOSTER",
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"FirstLineMailingAddress": "1761 BEALL AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOOSTER",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44691-2342",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-202-5570",
"MailingAddressFaxNumber": "330-202-5574",
"FirstLinePracticeLocationAddress": "1761 BEALL AVE",
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"PracticeLocationAddressFaxNumber": "330-202-5574",
"EnumerationDate": "11/01/2007",
"LastUpdateDate": "02/23/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHERON",
"AuthorizedOfficialFirstName": "WILLIAM",
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"AuthorizedOfficialTelephoneNumber": "330-263-8147",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "021708750",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}