{
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"FirstLineMailingAddress": "1750 N RANDALL RD",
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"FirstLinePracticeLocationAddress": "1750 N RANDALL RD",
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"EnumerationDate": "04/16/2010",
"LastUpdateDate": "12/07/2021",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OCHWAT",
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"AuthorizedOfficialCredential": "DPM",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}