{
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"EnumerationDate": "07/08/2006",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THOMPSON",
"AuthorizedOfficialFirstName": "MARVEA",
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"AuthorizedOfficialTitle": "OWNER OPTICIAN",
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"AuthorizedOfficialCredential": "OPTICIAN",
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{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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}