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"FirstLineMailingAddress": "100 ADIOS DR STE 1100",
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"EnumerationDate": "05/16/2025",
"LastUpdateDate": "09/13/2025",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "DOAN",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}