{
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"FirstLineMailingAddress": "100 W DEPOT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRINGFIELD",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40069-1190",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "859-217-5050",
"MailingAddressFaxNumber": "859-217-5051",
"FirstLinePracticeLocationAddress": "100 W DEPOT ST",
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"PracticeLocationAddressCityName": "SPRINGFIELD",
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"EnumerationDate": "12/23/2025",
"LastUpdateDate": "12/23/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MUDD",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "502-227-2303",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}