{
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"MailingAddressFaxNumber": "315-389-5183",
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"EnumerationDate": "11/08/2007",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BADENHAUSEN",
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"TaxonomyName": "Legal Medicine",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}