{
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"FirstLineMailingAddress": "332 S MAIN ST",
"SecondLineMailingAddress": null,
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-356-0054",
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"FirstLinePracticeLocationAddress": "6 MINES RD UNIT E1",
"SecondLinePracticeLocationAddress": null,
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"PracticeLocationAddressFaxNumber": "207-888-2602",
"EnumerationDate": "10/31/2022",
"LastUpdateDate": "11/04/2022",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORAN",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}