{
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"FirstLineMailingAddress": "5477 GRACE AVE",
"SecondLineMailingAddress": null,
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"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18017-9065",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-214-4043",
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"FirstLinePracticeLocationAddress": "1316 HANOVER AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALLENTOWN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "484-201-2390",
"PracticeLocationAddressFaxNumber": "484-201-2391",
"EnumerationDate": "08/24/2022",
"LastUpdateDate": "08/24/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DHADUK",
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"AuthorizedOfficialTelephoneNumber": "484-201-2390",
"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}