{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "LIFE HEALTH",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3382 KNIGHTON RDG",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POWDER SPRINGS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30127-2160",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-780-7825",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3382 KNIGHTON RDG",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "POWDER SPRINGS",
"PracticeLocationAddressStateName": "GA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-780-7825",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/26/2017",
"LastUpdateDate": "04/26/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GREGORY",
"AuthorizedOfficialFirstName": "SARAH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "RECRUITER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "303-730-1902",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "RN167846",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}