{
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"FirstLinePracticeLocationAddress": "1355 DAVE WARD DR STE 101",
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"EnumerationDate": "09/08/2021",
"LastUpdateDate": "09/08/2021",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCROGGINS",
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"Taxonomies": {
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"TaxonomyName": "Primary Care Clinic/Center",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}