{
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"FirstLineMailingAddress": "5705 NW 132ND ST",
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"MailingAddressCityName": "OKLAHOMA CITY",
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"FirstLinePracticeLocationAddress": "5705 NW 132ND ST",
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"PracticeLocationAddressCityName": "OKLAHOMA CITY",
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"EnumerationDate": "10/22/2026",
"LastUpdateDate": "10/22/2026",
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ADAIR",
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"Taxonomies": {
"Taxonomy": {
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}