{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "EXECUTONE COMMUNICATIONS SYSTEMS",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3315 CENTENNIAL RD",
"SecondLineMailingAddress": "UNIT J",
"MailingAddressCityName": "SYLVANIA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43560-9418",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-843-6868",
"MailingAddressFaxNumber": "419-843-6444",
"FirstLinePracticeLocationAddress": "3315 CENTENNIAL RD",
"SecondLinePracticeLocationAddress": "UNIT J",
"PracticeLocationAddressCityName": "SYLVANIA",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-843-6868",
"PracticeLocationAddressFaxNumber": "419-843-6444",
"EnumerationDate": "04/29/2010",
"LastUpdateDate": "04/29/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANCE",
"AuthorizedOfficialFirstName": "ANDREW",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "419-843-6868",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Emergency Response System Companies",
"LicenseNumber": "48175382",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}