{
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"LastName": null,
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"FirstLineMailingAddress": "10475 MEDLOCK BRIDGE RD STE 205",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JOHNS CREEK",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30097-4446",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-338-6558",
"MailingAddressFaxNumber": "770-232-1326",
"FirstLinePracticeLocationAddress": "10475 MEDLOCK BRIDGE RD STE 205",
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"PracticeLocationAddressCityName": "JOHNS CREEK",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-338-6558",
"PracticeLocationAddressFaxNumber": "770-232-1326",
"EnumerationDate": "09/15/2025",
"LastUpdateDate": "09/15/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOWER",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "770-338-6558",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
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}
}