{
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"FirstLineMailingAddress": "LAUREL OAK CORPORATE CENTER",
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"PracticeLocationAddressFaxNumber": "856-784-5115",
"EnumerationDate": "12/21/2006",
"LastUpdateDate": "08/22/2020",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ADAMS",
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"AuthorizedOfficialCredential": "PSY.D.",
"AuthorizedOfficialTelephoneNumber": "856-784-1001",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}