{
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"FirstLineMailingAddress": "133 RIDING TRL",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-578-1374",
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"FirstLinePracticeLocationAddress": "1531 CINEMA DR STE C",
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"PracticeLocationAddressCityName": "STATESVILLE",
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"EnumerationDate": "01/17/2023",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "STEWART",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}
}
}