{
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"IsOrgSubpart": "N",
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"OrgName": "WELLESLEY HEALTHCARE GROUP",
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"NamePrefix": null,
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"FirstLineMailingAddress": "529 BUTTONWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACKSON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08527-4945",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-333-0197",
"MailingAddressFaxNumber": "732-333-0198",
"FirstLinePracticeLocationAddress": "16 W MAIN ST",
"SecondLinePracticeLocationAddress": "FL 2",
"PracticeLocationAddressCityName": "FREEHOLD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07728-2210",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-333-0197",
"PracticeLocationAddressFaxNumber": "732-333-0198",
"EnumerationDate": "10/10/2009",
"LastUpdateDate": "10/10/2009",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRAY",
"AuthorizedOfficialFirstName": "MARLON",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "201-726-2265",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "322D00000X",
"TaxonomyName": "Emotionally Disturbed Childrens' Residential Treatment Facility",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}